| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $26.92 | $69.18 | $141.25 | |
Molina
| Professional | $77.62 | $77.62 | $77.62 | |
Regence BlueShield
| Facility | $50.12 | $69.18 | $549.54 |
Adenovirus vaccine, type 4, live, for oral use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $26.92 | $69.18 | $141.25 | |
Molina
| Professional | $77.62 | $77.62 | $77.62 | |
Regence BlueShield
| Facility | $50.12 | $69.18 | $549.54 |