| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $419.98 | $419.98 | $419.98 | |
Aetna
| Professional | $415.04 | $440.98 | $440.98 | |
Cigna
| Facility | $419.98 | $419.98 | $419.98 | |
Cigna
| Professional | $440.98 | $440.98 | $440.98 |
Injection Glucarpidase 10 Units(Voraxaze)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $419.98 | $419.98 | $419.98 | |
Aetna
| Professional | $415.04 | $440.98 | $440.98 | |
Cigna
| Facility | $419.98 | $419.98 | $419.98 | |
Cigna
| Professional | $440.98 | $440.98 | $440.98 |