| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.16 | $23.25 | $42.56 | |
Aetna
| Professional | $9.05 | $9.33 | $9.33 | |
Cigna
| Professional | $9.05 | $9.05 | $9.05 | |
United
| Professional | $9.05 | $13.58 | $332.70 |
Injection Digoxin Up To 0.5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.16 | $23.25 | $42.56 | |
Aetna
| Professional | $9.05 | $9.33 | $9.33 | |
Cigna
| Professional | $9.05 | $9.05 | $9.05 | |
United
| Professional | $9.05 | $13.58 | $332.70 |