| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |
Pharmacy Extension of 025x and 063x-Special Processed Drugs - FDA Approved Gene Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |