| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $470.78 | $590.25 | $1,634.50 | |
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 | $470.78 | $590.25 | $1,634.50 | |
Medica
| Professional | $4,127.76 | $4,127.76 | $4,127.76 |