| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.30 | $55.30 | $123.92 | |
Aetna
| Professional | $55.30 | $55.30 | $95.00 |
Take home supply of nasal naloxone; 2-pack of 4 mg per 0.1 ml nasal spray (provision of the services by a Medicare-enrolled Opioid Treatment Program); list separately in addition to code for primary procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.30 | $55.30 | $123.92 | |
Aetna
| Professional | $55.30 | $55.30 | $95.00 |