| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $1,576.51 | $1,576.51 | $1,576.51 |
Not otherwise classified, antineoplastic drugs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $1,576.51 | $1,576.51 | $1,576.51 |