| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $44,999.55 | $44,999.55 | $69,999.30 |
Acetylcysteine, inhalation solution, compounded product, administered through DME, unit dose form, per g
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $44,999.55 | $44,999.55 | $69,999.30 |