| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $202.51 | $202.51 | $202.51 | |
Midlands
| Professional | $16.60 | $16.60 | $16.60 |
Abl Laser Tx Open Wnd Pr Day Addl 20 Sqcm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $202.51 | $202.51 | $202.51 | |
Midlands
| Professional | $16.60 | $16.60 | $16.60 |