| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,479.93 | $5,479.93 | $7,018.17 |
Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,479.93 | $5,479.93 | $7,018.17 |