| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.10 | $0.10 | $0.10 | |
Providence
| Facility | $0.10 | $0.10 | $0.28 | |
United
| Professional | $0.12 | $0.12 | $0.12 |
Atropine Inhalation Solution Administered Through Dme Concentrated Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.10 | $0.10 | $0.10 | |
Providence
| Facility | $0.10 | $0.10 | $0.28 | |
United
| Professional | $0.12 | $0.12 | $0.12 |