| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $104.71 | $104.71 | $104.71 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |
Tetanus Toxoid Adsorbed Intramuscular
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $104.71 | $104.71 | $104.71 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |