| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,899.71 | $3,043.26 | $3,646.17 | |
Kaiser Permanente
| Professional | $170.00 | $170.00 | $178.00 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |
Gemtuzumab Ozogamicin Inj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,899.71 | $3,043.26 | $3,646.17 | |
Kaiser Permanente
| Professional | $170.00 | $170.00 | $178.00 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |