| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.73 | $6.73 | $6.73 | |
Aetna
| Professional | $1.66 | $1.72 | $1.76 | |
United
| Facility | $0.04 | $0.04 | $0.04 | |
United
| Professional | $1.67 | $4.17 | $4.17 |
Isoproterenol 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 | $6.73 | $6.73 | $6.73 | |
Aetna
| Professional | $1.66 | $1.72 | $1.76 | |
United
| Facility | $0.04 | $0.04 | $0.04 | |
United
| Professional | $1.67 | $4.17 | $4.17 |