| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellpoint
| Professional | $2.25 | $2.25 | $2.25 |
Vaccinia immune globulin, human, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellpoint
| Professional | $2.25 | $2.25 | $2.25 |