| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $10.00 | $10.00 | |
Cigna
| Professional | $10.72 | $10.72 | $10.72 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $20.42 | $25.70 | $38.90 |
Pharmacy supply fee for oral anticancer, oral antiemetic, or immunosuppressive drug(s); for the first prescription in a 30-day period
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $10.00 | $10.00 | |
Cigna
| Professional | $10.72 | $10.72 | $10.72 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $20.42 | $25.70 | $38.90 |