| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.06 | $51.06 | $61.82 | |
BCBS
| Facility | $8.00 | $31.77 | $52.34 | |
BCBS
| Professional | $6.00 | $8.00 | $18.26 | |
Medica
| Facility | $100.00 | $100.00 | $1,245.88 |
NOC drugs, other than inhalation drugs, administered through DME
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.06 | $51.06 | $61.82 | |
BCBS
| Facility | $8.00 | $31.77 | $52.34 | |
BCBS
| Professional | $6.00 | $8.00 | $18.26 | |
Medica
| Facility | $100.00 | $100.00 | $1,245.88 |