| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $14.61 | $21.75 | $62.10 | |
Medica
| Facility | $23.48 | $23.48 | $29.12 |
Vaccinia immune globulin, human, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $14.61 | $21.75 | $62.10 | |
Medica
| Facility | $23.48 | $23.48 | $29.12 |