| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.00 | $113.00 | $113.00 | |
United
| Professional | $27.28 | $27.28 | $37.89 |
Vaccinia immune globulin, human, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.00 | $113.00 | $113.00 | |
United
| Professional | $27.28 | $27.28 | $37.89 |