| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.36 | $2.36 | $2.36 | |
BCBS
| Professional | $1.73 | $2.04 | $2.04 | |
Cigna
| Professional | $1.73 | $1.73 | $1.73 | |
United
| Professional | $0.61 | $1.52 | $1.52 |
Formoterol, inhalation solution, compounded product, administered through DME, unit dose form, 12 mcg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.36 | $2.36 | $2.36 | |
BCBS
| Professional | $1.73 | $2.04 | $2.04 | |
Cigna
| Professional | $1.73 | $1.73 | $1.73 | |
United
| Professional | $0.61 | $1.52 | $1.52 |