| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.00 | $1.00 | $1.00 | |
Harvard Pilgrim
| Professional | $0.15 | $0.38 | $0.38 | |
United
| Facility | $0.12 | $0.12 | $0.14 | |
United
| Professional | $0.15 | $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 |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.00 | $1.00 | $1.00 | |
Harvard Pilgrim
| Professional | $0.15 | $0.38 | $0.38 | |
United
| Facility | $0.12 | $0.12 | $0.14 | |
United
| Professional | $0.15 | $0.38 | $0.38 |