| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.76 | $0.76 | $0.76 | |
Kaiser Permanente
| Professional | $68.00 | $68.00 | $68.00 |
Adenovirus vaccine, type 4, live, for oral use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.76 | $0.76 | $0.76 | |
Kaiser Permanente
| Professional | $68.00 | $68.00 | $68.00 |