| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $46.77 | $52.48 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
United
| Professional | $34.67 | $51.29 | $77.62 |
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 | $46.77 | $46.77 | $52.48 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
United
| Professional | $34.67 | $51.29 | $77.62 |