| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,828.72 | $4,338.85 | $4,338.85 | |
Cigna
| Professional | $1,828.71 | $1,828.71 | $1,828.71 | |
United
| Professional | $1,828.72 | $2,743.08 | $3,760.85 |
Injection Crotalidae Polyvalent Immune Fab (Ovine) Up To 1 Gram (Reinstated Code Previous Description Was Coumadin Up To 50 Mg)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,828.72 | $4,338.85 | $4,338.85 | |
Cigna
| Professional | $1,828.71 | $1,828.71 | $1,828.71 | |
United
| Professional | $1,828.72 | $2,743.08 | $3,760.85 |