| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $75.00 | $90.00 | $90.00 |
Injection, Factor Viii, Fc Fusion Protein, (Recombinant), Per I.U.
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $75.00 | $90.00 | $90.00 |