| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $227.04 | $227.04 | $263.45 | |
UPMC Health Plan
| Professional | $227.04 | $227.04 | $263.45 |
Injection, eculizumab, 10 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $227.04 | $227.04 | $263.45 | |
UPMC Health Plan
| Professional | $227.04 | $227.04 | $263.45 |