| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $7.41 | $7.41 | $12.30 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $7.59 | $7.59 | $8.32 |
Injection, perphenazine, up to 5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $7.41 | $7.41 | $12.30 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $7.59 | $7.59 | $8.32 |