| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $95.50 | $100.00 | $100.00 | |
Medica
| Professional | $0.30 | $0.30 | $0.30 | |
United
| Facility | $0.11 | $0.12 | $0.28 | |
United
| Professional | $0.28 | $0.38 | $0.38 |
Levalbuterol, inhalation solution, compounded product, administered through DME, concentrated form, 0.5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $95.50 | $100.00 | $100.00 | |
Medica
| Professional | $0.30 | $0.30 | $0.30 | |
United
| Facility | $0.11 | $0.12 | $0.28 | |
United
| Professional | $0.28 | $0.38 | $0.38 |