| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $424.15 | $424.15 | $424.15 | |
UPMC Health Plan
| Professional | $424.15 | $424.15 | $424.15 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $424.15 | $424.15 | $424.15 | |
UPMC Health Plan
| Professional | $424.15 | $424.15 | $424.15 |