| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $87.81 | $87.81 | $87.81 | |
Providence
| Facility | $30.00 | $30.00 | $30.00 |
Home Nfs/Specialty Drug Admn Pr Vst<2 Hr Ea Addl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $87.81 | $87.81 | $87.81 | |
Providence
| Facility | $30.00 | $30.00 | $30.00 |