| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $16.00 | $85.00 | $116.30 | |
Moda Health
| Facility | $2.08 | $9.67 | $58.22 | |
Oscar Health
| Facility | $666.23 | $905.98 | $8,636.62 |
Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $16.00 | $85.00 | $116.30 | |
Moda Health
| Facility | $2.08 | $9.67 | $58.22 | |
Oscar Health
| Facility | $666.23 | $905.98 | $8,636.62 |