| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $58.40 | $58.40 | $58.40 |
Rmvl W/replcmt Subq Implt Defib Pulse Generator
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $58.40 | $58.40 | $58.40 |