| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $5.01 | $5.01 | $5.01 | |
Medica
| Facility | $20.89 | $100.00 | $4,677.35 |
NOC drugs, inhalation solution administered through DME
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $5.01 | $5.01 | $5.01 | |
Medica
| Facility | $20.89 | $100.00 | $4,677.35 |