| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.58 | $0.58 | $0.58 | |
Harvard Pilgrim
| Professional | $14.13 | $23.44 | $26.92 | |
United
| Professional | $14.13 | $20.42 | $30.90 |
Vaccinia immune globulin, human, for intramuscular use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.58 | $0.58 | $0.58 | |
Harvard Pilgrim
| Professional | $14.13 | $23.44 | $26.92 | |
United
| Professional | $14.13 | $20.42 | $30.90 |