| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $4,677.35 | $4,677.35 | $4,677.35 | |
United
| Professional | $630.96 | $630.96 | $630.96 |
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 |
|---|---|---|---|---|---|
Lucent Health
| Facility | $4,677.35 | $4,677.35 | $4,677.35 | |
United
| Professional | $630.96 | $630.96 | $630.96 |