| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Anthem BCBS
| Professional | $1.32 | $199.53 | $218.78 | |
Martin's Point
| Professional | $2.00 | $2.00 | $2.00 |
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 | |
Anthem BCBS
| Professional | $1.32 | $199.53 | $218.78 | |
Martin's Point
| Professional | $2.00 | $2.00 | $2.00 |