| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $91.24 | $91.24 | $105.87 | |
UPMC Health Plan
| Professional | $91.24 | $91.24 | $105.87 |
Nplate SC SOLR 125 MCG
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $91.24 | $91.24 | $105.87 | |
UPMC Health Plan
| Professional | $91.24 | $91.24 | $105.87 |