| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Anthem BCBS
| Professional | $0.02 | $204.17 | $251.19 | |
United
| Professional | $50.12 | $50.12 | $50.12 |
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 | |
Anthem BCBS
| Professional | $0.02 | $204.17 | $251.19 | |
United
| Professional | $50.12 | $50.12 | $50.12 |