| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $251.19 | $302.00 | $302.00 | |
Premera BCBS
| Facility | $194.98 | $194.98 | $208.93 | |
Premera BCBS
| Professional | $208.93 | $331.13 | $446.68 |
Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known SARS-CoV-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available COVID-19 vaccine is not recommended due to a history of severe adverse reaction to a COVID-19 vaccine(s) and/or COVID-19 vaccine component(s), includes injection and post administration monitoring
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $251.19 | $302.00 | $302.00 | |
Premera BCBS
| Facility | $194.98 | $194.98 | $208.93 | |
Premera BCBS
| Professional | $208.93 | $331.13 | $446.68 |