| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $14.79 | $14.79 | $16.60 | |
United
| Professional | $14.45 | $14.45 | $18.62 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |
Injection, immune globulin (Vivaglobin), 100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $14.79 | $14.79 | $16.60 | |
United
| Professional | $14.45 | $14.45 | $18.62 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |