| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,512.00 | $5,977.00 | $11,994.00 |
Es Sph Augmnt Device Remova
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,512.00 | $5,977.00 | $11,994.00 |
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