| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4,314.00 | $9,324.00 | $16,991.00 |
Lap Es Sph Augment Dev Plac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4,314.00 | $9,324.00 | $16,991.00 |
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