| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $5,623.41 | $6,309.57 | $6,309.57 | |
United
| Professional | $794.33 | $1,258.93 | $1,513.56 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion 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 |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $5,623.41 | $6,309.57 | $6,309.57 | |
United
| Professional | $794.33 | $1,258.93 | $1,513.56 |