| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,486.55 | $5,854.00 | $11,257.00 |
Intro Mix Saline&Air F/Ssg Conf Occls Flp Tube
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,486.55 | $5,854.00 | $11,257.00 |
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