| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.34 | $67.34 | $67.34 | |
Aetna
| Professional | $16.57 | $16.57 | $17.61 | |
BCBS
| Facility | $288.66 | $358.56 | $429.08 | |
United
| Professional | $20.72 | $20.72 | $20.72 |
Injection, chloroquine HCl, up to 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.34 | $67.34 | $67.34 | |
Aetna
| Professional | $16.57 | $16.57 | $17.61 | |
BCBS
| Facility | $288.66 | $358.56 | $429.08 | |
United
| Professional | $20.72 | $20.72 | $20.72 |