| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,504.95 | $3,461.82 | $4,498.43 |
Prescrl Fuse W/O Instr L4/L
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,504.95 | $3,461.82 | $4,498.43 |
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