| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.39 | $0.39 | $0.39 | |
Aetna
| Professional | $0.10 | $0.10 | $0.15 | |
United
| Professional | $0.05 | $0.13 | $0.13 |
Dexamethasone Inhalation Solution Administered Through Dme Unit Dose Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.39 | $0.39 | $0.39 | |
Aetna
| Professional | $0.10 | $0.10 | $0.15 | |
United
| Professional | $0.05 | $0.13 | $0.13 |