| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2.87 | $2.87 | $2.87 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Hemophilia clotting factor, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2.87 | $2.87 | $2.87 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |