| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $30.20 | $35.48 | $251.19 | |
ConnectiCare
| Professional | $50,118.72 | $50,118.72 | $50,118.72 |
Unclassified drug or biological used for ESRD on dialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $30.20 | $35.48 | $251.19 | |
ConnectiCare
| Professional | $50,118.72 | $50,118.72 | $50,118.72 |