| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.20 | $17.20 | $17.20 | |
Aetna
| Professional | $17.20 | $17.20 | $17.20 | |
Regence BlueShield
| Facility | $1.92 | $267.62 | $338.04 | |
United
| Professional | $19.68 | $20.72 | $20.72 |
Injection, chloroquine HCl, up to 250 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.20 | $17.20 | $17.20 | |
Aetna
| Professional | $17.20 | $17.20 | $17.20 | |
Regence BlueShield
| Facility | $1.92 | $267.62 | $338.04 | |
United
| Professional | $19.68 | $20.72 | $20.72 |