| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $7.87 | $7.87 | $7.87 | |
United
| Professional | $13.48 | $16.13 | $21.60 | |
University Health Alliance
| Professional | $299.25 | $363.38 | $427.50 |
Injection, immune globulin (Vivaglobin), 100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $7.87 | $7.87 | $7.87 | |
United
| Professional | $13.48 | $16.13 | $21.60 | |
University Health Alliance
| Professional | $299.25 | $363.38 | $427.50 |