| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $90.00 | $100.00 | $100.00 |
Injection, Factor Viii, (Antihemophilic Factor, Recombinant), Pegylated-Aucl (Jivi), 1 I.U.
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $90.00 | $100.00 | $100.00 |