| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $19.05 | |
Aetna
| Professional | $7.08 | $7.59 | $7.94 | |
Molina
| Professional | $8.13 | $13.80 | $50.12 | |
United
| Professional | $9.55 | $9.55 | $9.55 |
Injection, dyphylline, up to 500 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $19.05 | |
Aetna
| Professional | $7.08 | $7.59 | $7.94 | |
Molina
| Professional | $8.13 | $13.80 | $50.12 | |
United
| Professional | $9.55 | $9.55 | $9.55 |