| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.80 | $325.66 | $12,534.11 | |
Emblem Health
| Professional | $975.00 | $975.00 | $975.00 | |
Horizon BCBS
| Professional | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |
NOC drugs, other than inhalation drugs, administered through DME
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.80 | $325.66 | $12,534.11 | |
Emblem Health
| Professional | $975.00 | $975.00 | $975.00 | |
Horizon BCBS
| Professional | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |