| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.50 | $177.80 | $177.80 | |
BCBS
| Facility | $247.93 | $360.33 | $427.17 | |
BCBS
| Professional | $203.68 | $239.62 | $239.62 | |
United
| Professional | $138.24 | $145.69 | $206.13 |
Professional Services For The Administration Of Anti-Infective Pain Management Chelation Pulmonary Hypertension Inotropic Or Other Intravenous Infusion Drug Or Biological (Excludingchemotherapy Or Other Highly Complex Drug Or Biological) For Each Infusion Drug Administration Calendar Day In The Individuals Home Each 15 Minutes (Desc Rvsd 1/1/21)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.50 | $177.80 | $177.80 | |
BCBS
| Facility | $247.93 | $360.33 | $427.17 | |
BCBS
| Professional | $203.68 | $239.62 | $239.62 | |
United
| Professional | $138.24 | $145.69 | $206.13 |