| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,805.00 | $5,099.00 | $10,957.00 | |
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 | |
CareSource
| Professional | $36,749.62 | $36,749.62 | $36,749.62 |
Ant Segment Insertion Drainage W/O Reservoir Int
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,805.00 | $5,099.00 | $10,957.00 | |
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 | |
CareSource
| Professional | $36,749.62 | $36,749.62 | $36,749.62 |