| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,195.50 | $6,215.00 | $12,956.00 |
Sin Ndsc Plmt Drg Elut Mplnt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,195.50 | $6,215.00 | $12,956.00 |
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