| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.68 | $11.28 | $17.25 | |
Aetna
| Professional | $8.68 | $8.77 | $9.74 | |
Lucent Health
| Facility | $17.98 | $100.00 | $100.00 | |
United
| Professional | $13.68 | $14.40 | $16.13 |
Injection, immune globulin (Vivaglobin), 100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.68 | $11.28 | $17.25 | |
Aetna
| Professional | $8.68 | $8.77 | $9.74 | |
Lucent Health
| Facility | $17.98 | $100.00 | $100.00 | |
United
| Professional | $13.68 | $14.40 | $16.13 |