| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Premera BCBS
| Professional | $346.74 | $346.74 | $346.74 | |
Providence
| Professional | $275.42 | $302.00 | $426.58 | |
United
| Professional | $234.42 | $234.42 | $234.42 |
Injection, thiotepa, 15 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Premera BCBS
| Professional | $346.74 | $346.74 | $346.74 | |
Providence
| Professional | $275.42 | $302.00 | $426.58 | |
United
| Professional | $234.42 | $234.42 | $234.42 |