| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $316.39 | $316.39 | $316.39 | |
Medica
| Professional | $834.02 | $834.02 | $834.02 |
Intro Mix Saline&Air F/Ssg Conf Occls Flp Tube
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $316.39 | $316.39 | $316.39 | |
Medica
| Professional | $834.02 | $834.02 | $834.02 |