| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $3.54 | $4.17 | $4.17 | |
United
| Professional | $3.54 | $4.17 | $4.17 |
Isoproterenol HCl, inhalation solution, compounded product, administered through DME, concentrated form, per mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $3.54 | $4.17 | $4.17 | |
United
| Professional | $3.54 | $4.17 | $4.17 |