| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,396.85 | $1,837.24 | $3,839.94 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Noc For Parenteral Supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,396.85 | $1,837.24 | $3,839.94 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |