| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $63.10 | $112.20 | $125.89 | |
United
| Facility | $117.49 | $117.49 | $117.49 | |
United
| Professional | $91.20 | $91.20 | $112.20 |
Injection, streptokinase, per 250,000 IU
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $63.10 | $112.20 | $125.89 | |
United
| Facility | $117.49 | $117.49 | $117.49 | |
United
| Professional | $91.20 | $91.20 | $112.20 |