| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.76 | $4.76 | $4.76 | |
Aetna
| Professional | $4.76 | $4.76 | $4.76 | |
Cigna
| Professional | $4.87 | $4.87 | $4.87 | |
United
| Professional | $5.44 | $5.73 | $5.73 |
Injection Ergonovine Maleate Up To 0.2 Mg (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.76 | $4.76 | $4.76 | |
Aetna
| Professional | $4.76 | $4.76 | $4.76 | |
Cigna
| Professional | $4.87 | $4.87 | $4.87 | |
United
| Professional | $5.44 | $5.73 | $5.73 |