| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $148.35 | $148.35 | |
Medica
| Professional | $19.30 | $24.83 | $832.44 |
Cyclophosphamide, 100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $148.35 | $148.35 | |
Medica
| Professional | $19.30 | $24.83 | $832.44 |