| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $9.48 | $9.48 | $9.48 | |
United
| Professional | $8.88 | $9.49 | $14.24 | |
University Health Alliance
| Professional | $5.65 | $6.86 | $9.48 |
Injection, dyphylline, up to 500 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $9.48 | $9.48 | $9.48 | |
United
| Professional | $8.88 | $9.49 | $14.24 | |
University Health Alliance
| Professional | $5.65 | $6.86 | $9.48 |