| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $10.47 | $10.96 | $100.00 | |
Medica
| Professional | $12.88 | $12.88 | $12.88 | |
United
| Facility | $17.38 | $17.38 | $17.38 | |
United
| Professional | $12.88 | $12.88 | $13.49 |
Injection, triflupromazine HCl, up to 20 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $10.47 | $10.96 | $100.00 | |
Medica
| Professional | $12.88 | $12.88 | $12.88 | |
United
| Facility | $17.38 | $17.38 | $17.38 | |
United
| Professional | $12.88 | $12.88 | $13.49 |