| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $52.48 | $52.48 | $77.62 | |
Providence
| Facility | $52.48 | $56.23 | $138.04 |
Inj., emicizumab-kxwh 0.5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $52.48 | $52.48 | $77.62 | |
Providence
| Facility | $52.48 | $56.23 | $138.04 |