| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $30.36 | $35.72 | $218.25 | |
ConnectiCare
| Professional | $25.00 | $25.00 | $39,999.60 |
Unclassified drug or biological used for ESRD on dialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $30.36 | $35.72 | $218.25 | |
ConnectiCare
| Professional | $25.00 | $25.00 | $39,999.60 |