| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $512.39 | $788.70 | $788.70 | |
Medica
| Professional | $874.90 | $874.90 | $874.90 | |
United
| Professional | $236.29 | $325.70 | $447.50 |
Ant Segment Insert Drain W/O Reservoir Ea Addl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $512.39 | $788.70 | $788.70 | |
Medica
| Professional | $874.90 | $874.90 | $874.90 | |
United
| Professional | $236.29 | $325.70 | $447.50 |