| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.37 | $0.37 | $0.37 | |
Aetna
| Professional | $0.37 | $0.37 | $0.37 | |
United
| Professional | $4.04 | $4.25 | $4.25 |
Levorphanol Tartrate Inj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.37 | $0.37 | $0.37 | |
Aetna
| Professional | $0.37 | $0.37 | $0.37 | |
United
| Professional | $4.04 | $4.25 | $4.25 |