| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.15 | $55.15 | $57.36 | |
Aetna
| Professional | $55.16 | $55.16 | $128.60 | |
Cigna
| Professional | $54.58 | $55.16 | $55.16 | |
United
| Professional | $22.06 | $55.16 | $62.93 |
Dornase alfa, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.15 | $55.15 | $57.36 | |
Aetna
| Professional | $55.16 | $55.16 | $128.60 | |
Cigna
| Professional | $54.58 | $55.16 | $55.16 | |
United
| Professional | $22.06 | $55.16 | $62.93 |