| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $1.12 | $1.14 | $1.68 | |
CareSource
| Professional | $2.60 | $2.60 | $2.60 |
Injection Furosemide Up To 20 Mg (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $1.12 | $1.14 | $1.68 | |
CareSource
| Professional | $2.60 | $2.60 | $2.60 |