| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $588.84 | $588.84 | $588.84 | |
Pacific Source
| Facility | $363.08 | $371.54 | $398.11 | |
United
| Professional | $223.87 | $223.87 | $223.87 |
Injection, eculizumab, 10 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $588.84 | $588.84 | $588.84 | |
Pacific Source
| Facility | $363.08 | $371.54 | $398.11 | |
United
| Professional | $223.87 | $223.87 | $223.87 |