| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.50 | $47.50 | $47.50 | |
Cigna
| Professional | $29.52 | $29.52 | $29.52 | |
Molina
| Professional | $66.50 | $66.50 | $66.50 | |
United
| Professional | $42.50 | $58.50 | $86.94 |
Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.50 | $47.50 | $47.50 | |
Cigna
| Professional | $29.52 | $29.52 | $29.52 | |
Molina
| Professional | $66.50 | $66.50 | $66.50 | |
United
| Professional | $42.50 | $58.50 | $86.94 |