| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Endovascular Repair Of Iliac Artery Bifurcation(Eg Aneurysm, Pseudoaneurysm, Trauma, Dissection)Using Bifurcated Endograft From The Common Iliac Arte Ry Into Both The External And Internal Iliac Arte
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $30.00 | $30.00 | $30.00 |