| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.20 | $4.97 | $4.97 | |
Aetna
| Professional | $3.20 | $5.07 | $10.64 | |
BCBS
| Professional | $28.00 | $28.00 | $28.00 | |
Lucent Health
| Facility | $17.44 | $885.11 | $885.11 |
Drugs Or Medicaments Dispensed In The Office For Home Use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.20 | $4.97 | $4.97 | |
Aetna
| Professional | $3.20 | $5.07 | $10.64 | |
BCBS
| Professional | $28.00 | $28.00 | $28.00 | |
Lucent Health
| Facility | $17.44 | $885.11 | $885.11 |