| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $50.12 | $64.57 | $75.86 |
Acetylcysteine, inhalation solution, compounded product, administered through DME, unit dose form, per g
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $50.12 | $64.57 | $75.86 |