| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.13 | $1.13 | $1.91 | |
Cigna
| Professional | $1.13 | $1.13 | $1.13 | |
MVP Health Care
| Professional | $1.13 | $1.13 | $1.13 | |
United
| Professional | $1.09 | $1.14 | $1.77 |
Injection Metaraminol Bitartrate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.13 | $1.13 | $1.91 | |
Cigna
| Professional | $1.13 | $1.13 | $1.13 | |
MVP Health Care
| Professional | $1.13 | $1.13 | $1.13 | |
United
| Professional | $1.09 | $1.14 | $1.77 |