| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.04 | $1.04 | $1.06 | |
Medica
| Facility | $95.00 | $95.00 | $100.00 | |
Medica
| Professional | $0.12 | $0.30 | $0.37 | |
United
| Professional | $0.11 | $0.27 | $0.50 |
Levalbuterol Comp Con
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.04 | $1.04 | $1.06 | |
Medica
| Facility | $95.00 | $95.00 | $100.00 | |
Medica
| Professional | $0.12 | $0.30 | $0.37 | |
United
| Professional | $0.11 | $0.27 | $0.50 |