| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $111.84 | $111.84 | $111.84 | |
Priority Health
| Facility | $111.84 | $111.84 | $111.84 |
Inj., emicizumab-kxwh 0.5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $111.84 | $111.84 | $111.84 | |
Priority Health
| Facility | $111.84 | $111.84 | $111.84 |