| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.20 | $1.41 | $1.62 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Lucent Health
| Facility | $158.49 | $158.49 | $158.49 | |
United
| Professional | $1.45 | $1.51 | $1.51 |
Injection, codeine phosphate, per 30 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.20 | $1.41 | $1.62 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Lucent Health
| Facility | $158.49 | $158.49 | $158.49 | |
United
| Professional | $1.45 | $1.51 | $1.51 |