| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.60 | $16.60 | $16.60 | |
BCBS
| Facility | $1.00 | $1.00 | $1.00 | |
United
| Professional | $125.89 | $125.89 | $125.89 |
NOC drugs, other than inhalation drugs, administered through DME
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.60 | $16.60 | $16.60 | |
BCBS
| Facility | $1.00 | $1.00 | $1.00 | |
United
| Professional | $125.89 | $125.89 | $125.89 |