| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.72 | $0.76 | $0.76 | |
Molina
| Professional | $30.20 | $30.20 | $54.95 |
NOC drugs, inhalation solution administered through DME
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.72 | $0.76 | $0.76 | |
Molina
| Professional | $30.20 | $30.20 | $54.95 |