| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $95.00 | $95.00 | $95.00 | |
Medica
| Professional | $0.97 | $0.97 | $0.97 | |
Midlands
| Facility | $0.90 | $0.90 | $1.00 | |
United
| Professional | $0.97 | $0.97 | $0.97 |
Pentamidine Comp Unit Dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $95.00 | $95.00 | $95.00 | |
Medica
| Professional | $0.97 | $0.97 | $0.97 | |
Midlands
| Facility | $0.90 | $0.90 | $1.00 | |
United
| Professional | $0.97 | $0.97 | $0.97 |