| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.18 | $11.18 | $22.03 | |
Cigna
| Professional | $11.19 | $11.19 | $11.19 | |
United
| Professional | $11.16 | $11.19 | $16.79 |
Injection Orphenadrine Citrate Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.18 | $11.18 | $22.03 | |
Cigna
| Professional | $11.19 | $11.19 | $11.19 | |
United
| Professional | $11.16 | $11.19 | $16.79 |