| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.23 | $20.00 | $20.00 | |
Anthem BCBS
| Professional | $47.64 | $47.64 | $47.64 | |
Harvard Pilgrim
| Professional | $371.21 | $371.21 | $371.21 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.23 | $20.00 | $20.00 | |
Anthem BCBS
| Professional | $47.64 | $47.64 | $47.64 | |
Harvard Pilgrim
| Professional | $371.21 | $371.21 | $371.21 |