| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $8.00 | $31.41 | $52.34 | |
BCBS
| Professional | $5.50 | $8.00 | $15.95 | |
Medica
| Facility | $100.00 | $100.00 | $370.38 |
Noc For Parenteral Supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $8.00 | $31.41 | $52.34 | |
BCBS
| Professional | $5.50 | $8.00 | $15.95 | |
Medica
| Facility | $100.00 | $100.00 | $370.38 |