| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4.09 | $4.09 | $4.09 | |
Health Alliance Plan
| Professional | $1.72 | $1.75 | $1.75 |
Hemophilia clotting factor, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4.09 | $4.09 | $4.09 | |
Health Alliance Plan
| Professional | $1.72 | $1.75 | $1.75 |