| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.10 | $1.10 | $1.84 | |
Cigna
| Professional | $0.65 | $0.65 | $0.65 | |
MVP Health Care
| Professional | $0.65 | $0.65 | $0.65 | |
United
| Professional | $0.31 | $0.36 | $0.55 |
Injection Hydrocortisone Acetate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.10 | $1.10 | $1.84 | |
Cigna
| Professional | $0.65 | $0.65 | $0.65 | |
MVP Health Care
| Professional | $0.65 | $0.65 | $0.65 | |
United
| Professional | $0.31 | $0.36 | $0.55 |