| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4.17 | $128.82 | $1,621.81 |
Pharmacy Extension of 025x and 063x-Special Processed Drugs - FDA Approved Gene Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4.17 | $128.82 | $1,621.81 |