| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $95.50 | $128.82 | $426.58 | |
UPMC Health Plan
| Professional | $95.50 | $128.82 | $426.58 | |
United
| Facility | $741.31 | $741.31 | $741.31 |
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 | $95.50 | $128.82 | $426.58 | |
UPMC Health Plan
| Professional | $95.50 | $128.82 | $426.58 | |
United
| Facility | $741.31 | $741.31 | $741.31 |