| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $50.00 | $70.00 | $1,500.00 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |
Unclassified drug or biological used for ESRD on dialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $50.00 | $70.00 | $1,500.00 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |