| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.56 | $78.56 | $78.56 | |
Aetna
| Professional | $78.56 | $113.14 | $113.14 | |
Cigna
| Professional | $46.50 | $46.97 | $58.13 | |
Medica
| Facility | $55.47 | $78.56 | $133.55 |
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 | $78.56 | $78.56 | $78.56 | |
Aetna
| Professional | $78.56 | $113.14 | $113.14 | |
Cigna
| Professional | $46.50 | $46.97 | $58.13 | |
Medica
| Facility | $55.47 | $78.56 | $133.55 |