| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
CareFirst
| Professional | $0.06 | $0.06 | $0.06 | |
United
| Facility | $0.28 | $0.28 | $0.36 | |
United
| Professional | $0.47 | $0.72 | $0.76 |
Isoetharine HCl, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, per mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
CareFirst
| Professional | $0.06 | $0.06 | $0.06 | |
United
| Facility | $0.28 | $0.28 | $0.36 | |
United
| Professional | $0.47 | $0.72 | $0.76 |