| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.33 | $54.33 | $54.33 | |
Anthem BCBS
| Professional | $2.04 | $2.34 | $2.36 | |
Martin's Point
| Facility | $54.33 | $54.33 | $54.33 |
Acetylcysteine, inhalation solution, compounded product, administered through DME, unit dose form, per g
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.33 | $54.33 | $54.33 | |
Anthem BCBS
| Professional | $2.04 | $2.34 | $2.36 | |
Martin's Point
| Facility | $54.33 | $54.33 | $54.33 |