| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.07 | $26.47 | $26.47 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
United
| Professional | $14.40 | $18.07 | $28.00 |
Pharmacy supply fee for oral anticancer, oral antiemetic, or immunosuppressive drug(s); for a subsequent prescription in a 30-day period
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.07 | $26.47 | $26.47 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
United
| Professional | $14.40 | $18.07 | $28.00 |