| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,174.90 | $1,174.90 | $1,174.90 | |
Pacific Source
| Facility | $741.31 | $912.01 | $912.01 | |
United
| Professional | $371.54 | $371.54 | $371.54 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,174.90 | $1,174.90 | $1,174.90 | |
Pacific Source
| Facility | $741.31 | $912.01 | $912.01 | |
United
| Professional | $371.54 | $371.54 | $371.54 |