| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
BCBS
| Facility | $1.91 | $6.17 | $9.12 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Hemophilia clotting factor, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
BCBS
| Facility | $1.91 | $6.17 | $9.12 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |