| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $933.25 | $933.25 | $933.25 | |
United
| Facility | $512.86 | $512.86 | $512.86 | |
United
| Professional | $575.44 | $691.83 | $851.14 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the COVID-19 public health emergency
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $933.25 | $933.25 | $933.25 | |
United
| Facility | $512.86 | $512.86 | $512.86 | |
United
| Professional | $575.44 | $691.83 | $851.14 |