| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $5.60 | $5.60 | $5.60 | |
Horizon BCBS
| Facility | $0.02 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $0.03 | $0.03 | $0.03 | |
United
| Facility | $0.02 | $0.02 | $0.02 |
Injection, bamlanivimab and etesevimab, 2100 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $5.60 | $5.60 | $5.60 | |
Horizon BCBS
| Facility | $0.02 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $0.03 | $0.03 | $0.03 | |
United
| Facility | $0.02 | $0.02 | $0.02 |