| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.05 | $5.05 | $5.41 | |
Aetna
| Professional | $5.05 | $5.41 | $22.72 | |
Anthem BCBS
| Professional | $5.88 | $5.88 | $5.88 | |
Hometown Health
| Professional | $44.00 | $44.00 | $44.00 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.05 | $5.05 | $5.41 | |
Aetna
| Professional | $5.05 | $5.41 | $22.72 | |
Anthem BCBS
| Professional | $5.88 | $5.88 | $5.88 | |
Hometown Health
| Professional | $44.00 | $44.00 | $44.00 |