| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $891.25 | $1,202.26 | $2,187.76 | |
Providence
| Facility | $891.25 | $1,148.15 | $1,949.84 | |
United
| Professional | $1,318.26 | $1,949.84 | $3,235.94 |
Muromonab-CD3, parenteral, 5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $891.25 | $1,202.26 | $2,187.76 | |
Providence
| Facility | $891.25 | $1,148.15 | $1,949.84 | |
United
| Professional | $1,318.26 | $1,949.84 | $3,235.94 |