| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.89 | $37.35 | $74.70 | |
Aetna
| Professional | $37.35 | $37.35 | $37.35 | |
Cigna
| Professional | $38.25 | $38.25 | $38.25 | |
United
| Professional | $37.50 | $37.50 | $37.50 |
Injection Papaverine Hcl Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.89 | $37.35 | $74.70 | |
Aetna
| Professional | $37.35 | $37.35 | $37.35 | |
Cigna
| Professional | $38.25 | $38.25 | $38.25 | |
United
| Professional | $37.50 | $37.50 | $37.50 |