| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.63 | $2.63 | $2.63 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Providence
| Facility | $0.37 | $1.35 | $1.70 | |
United
| Professional | $1.51 | $1.51 | $1.51 |
Injection, codeine phosphate, per 30 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.63 | $2.63 | $2.63 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Providence
| Facility | $0.37 | $1.35 | $1.70 | |
United
| Professional | $1.51 | $1.51 | $1.51 |