| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $5.09 | $5.09 | $5.09 |
Injection, Factor IX, albumin fusion protein (recombinant), Idelvion, 1 i.u.
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $5.09 | $5.09 | $5.09 |