| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.15 | $0.22 | $0.50 | |
Aetna
| Professional | $0.12 | $0.15 | $0.15 | |
Anthem BCBS
| Professional | $0.10 | $0.14 | $0.25 | |
United
| Professional | $0.28 | $0.72 | $0.76 |
Isoetharine Hcl 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
| Facility | $0.15 | $0.22 | $0.50 | |
Aetna
| Professional | $0.12 | $0.15 | $0.15 | |
Anthem BCBS
| Professional | $0.10 | $0.14 | $0.25 | |
United
| Professional | $0.28 | $0.72 | $0.76 |