| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.83 | $1.83 | $3.20 | |
Aetna
| Professional | $1.76 | $1.83 | $1.83 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $1.86 | $1.86 | $1.87 |
Factor Viii (Antihemophilic Factor (Porcine)) Per I.U. (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.83 | $1.83 | $3.20 | |
Aetna
| Professional | $1.76 | $1.83 | $1.83 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $1.86 | $1.86 | $1.87 |