| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.38 | $22.39 | $30.20 | |
Aetna
| Professional | $15.85 | $16.98 | $16.98 | |
Lucent Health
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $19.50 | $20.89 | $20.89 |
Injection, chloroquine HCl, up to 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.38 | $22.39 | $30.20 | |
Aetna
| Professional | $15.85 | $16.98 | $16.98 | |
Lucent Health
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $19.50 | $20.89 | $20.89 |