| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $1.44 | $1.44 | $1.44 | |
United
| Professional | $1.42 | $1.52 | $2.27 | |
University Health Alliance
| Professional | $0.28 | $0.41 | $1.62 |
Injection, codeine phosphate, per 30 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $1.44 | $1.44 | $1.44 | |
United
| Professional | $1.42 | $1.52 | $2.27 | |
University Health Alliance
| Professional | $0.28 | $0.41 | $1.62 |