| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $575.29 | $721.13 | $5,000.00 | |
Medica
| Professional | $4,127.76 | $4,127.76 | $4,127.76 |
Application Intervertebral Biomechanical Device
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $575.29 | $721.13 | $5,000.00 | |
Medica
| Professional | $4,127.76 | $4,127.76 | $4,127.76 |