| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $32.36 | |
Aetna
| Professional | $2.95 | $2.95 | $6.46 | |
Medica
| Facility | $162.18 | $162.18 | $162.18 |
NOC drugs, inhalation solution administered through DME
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $32.36 | |
Aetna
| Professional | $2.95 | $2.95 | $6.46 | |
Medica
| Facility | $162.18 | $162.18 | $162.18 |