| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $7.50 | $7.50 | |
Aetna
| Professional | $2.97 | $2.97 | $5.00 | |
Medica
| Facility | $2.97 | $5.14 | $5.80 | |
Medica
| Professional | $40.83 | $40.83 | $40.83 |
NOC drugs, inhalation solution administered through DME
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $7.50 | $7.50 | |
Aetna
| Professional | $2.97 | $2.97 | $5.00 | |
Medica
| Facility | $2.97 | $5.14 | $5.80 | |
Medica
| Professional | $40.83 | $40.83 | $40.83 |