| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $661.00 | $661.00 | $661.00 |
Laps Insj New/Rplcmt Lead Perm Isdss Ea Adl Lead
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $661.00 | $661.00 | $661.00 |