| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.80 | $4.80 | $6.50 | |
Lucent Health
| Facility | $64.00 | $100.00 | $162.46 |
NOC drugs, inhalation solution administered through DME
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.80 | $4.80 | $6.50 | |
Lucent Health
| Facility | $64.00 | $100.00 | $162.46 |