| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.50 | $47.50 | $47.50 | |
Cigna
| Professional | $23.81 | $29.52 | $29.52 | |
United
| Professional | $45.00 | $55.00 | $87.50 |
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 | $23.81 | $29.52 | $29.52 | |
United
| Professional | $45.00 | $55.00 | $87.50 |