| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $146.08 | $190.59 | $371.64 | |
Midlands
| Facility | $75.90 | $82.80 | $96.60 |
Adenovirus vaccine, type 4, live, for oral use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $146.08 | $190.59 | $371.64 | |
Midlands
| Facility | $75.90 | $82.80 | $96.60 |