| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $41,999.58 | $55,999.44 | $69,999.30 | |
CareSource
| Professional | $3.12 | $3.12 | $3.12 |
Hydroxyprogesterone caproate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $41,999.58 | $55,999.44 | $69,999.30 | |
CareSource
| Professional | $3.12 | $3.12 | $3.12 |