| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.00 | $1.00 | $1.00 | |
Medica
| Facility | $232.93 | $232.93 | $232.93 |
Diphtheria Antitoxin Equine Any Route
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.00 | $1.00 | $1.00 | |
Medica
| Facility | $232.93 | $232.93 | $232.93 |