| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.94 | $4.94 | $4.94 | |
Aetna
| Professional | $1.05 | $1.05 | $1.29 | |
BCBS
| Facility | $236.98 | $294.37 | $352.26 | |
United
| Professional | $0.50 | $1.52 | $1.52 |
Injection, codeine phosphate, per 30 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.94 | $4.94 | $4.94 | |
Aetna
| Professional | $1.05 | $1.05 | $1.29 | |
BCBS
| Facility | $236.98 | $294.37 | $352.26 | |
United
| Professional | $0.50 | $1.52 | $1.52 |