| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $16.07 | $16.07 | $16.07 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |
Injection, droperidol and fentanyl citrate, up to 2 ml ampule
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $16.07 | $16.07 | $16.07 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |