| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $147.91 | $147.91 | |
Medica
| Professional | $19.50 | $25.70 | $831.76 | |
United
| Professional | $17.38 | $21.38 | $22.39 |
Cyclophosphamide, 100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $147.91 | $147.91 | |
Medica
| Professional | $19.50 | $25.70 | $831.76 | |
United
| Professional | $17.38 | $21.38 | $22.39 |