| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $3,237.89 | $3,886.05 | $9,450.00 | |
Moda Health
| Facility | $0.04 | $0.04 | $0.04 | |
Providence
| Facility | $2,100.00 | $2,100.00 | $2,100.00 |
Injection, bebtelovimab, 175 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $3,237.89 | $3,886.05 | $9,450.00 | |
Moda Health
| Facility | $0.04 | $0.04 | $0.04 | |
Providence
| Facility | $2,100.00 | $2,100.00 | $2,100.00 |