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