| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $25.70 | $33.88 | |
Providence
| Professional | $79.43 | $79.43 | $85.11 | |
United
| Facility | $0.03 | $0.03 | $0.14 | |
United
| Professional | $0.38 | $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 |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $25.70 | $33.88 | |
Providence
| Professional | $79.43 | $79.43 | $85.11 | |
United
| Facility | $0.03 | $0.03 | $0.14 | |
United
| Professional | $0.38 | $0.38 | $0.38 |