| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $176.19 | $176.19 | $193.81 | |
UPMC Health Plan
| Professional | $176.19 | $176.19 | $193.81 |
Liver Ds Alys 3 Biomarkers Ia Srm Prognostic Alg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
UPMC Health Plan
| Facility | $176.19 | $176.19 | $193.81 | |
UPMC Health Plan
| Professional | $176.19 | $176.19 | $193.81 |