| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.00 | $77.00 | $77.00 | |
Lucent Health
| Facility | $64.00 | $95.00 | $100.00 |
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
| Professional | $77.00 | $77.00 | $77.00 | |
Lucent Health
| Facility | $64.00 | $95.00 | $100.00 |