| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $171.01 | $244.30 | $244.30 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |
Inj., emicizumab-kxwh 0.5 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Asuris Northwest Health
| Facility | $171.01 | $244.30 | $244.30 | |
Pacific Source
| Facility | $79,999.20 | $79,999.20 | $79,999.20 |