| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $65.37 | $85.57 | $168.32 | |
Cigna
| Professional | $28.13 | $28.13 | $35.15 |
Dihydrocodeinone
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $65.37 | $85.57 | $168.32 | |
Cigna
| Professional | $28.13 | $28.13 | $35.15 |
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