| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
United
| Professional | $109.96 | $109.96 | $109.96 |
Vaccinia immune globulin, human, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
United
| Professional | $109.96 | $109.96 | $109.96 |