| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.93 | $10.93 | $10.93 | |
Cigna
| Professional | $10.60 | $10.60 | $10.60 | |
Molina
| Professional | $31.92 | $31.92 | $31.92 | |
United
| Professional | $20.88 | $28.32 | $42.36 |
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 | $10.93 | $10.93 | $10.93 | |
Cigna
| Professional | $10.60 | $10.60 | $10.60 | |
Molina
| Professional | $31.92 | $31.92 | $31.92 | |
United
| Professional | $20.88 | $28.32 | $42.36 |