| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $54.95 | $1,445.44 | $1,949.84 | |
Medica
| Professional | $1,513.56 | $7,079.46 | $7,079.46 |
Prolonged Extracorporeal Circulation Init Day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $54.95 | $1,445.44 | $1,949.84 | |
Medica
| Professional | $1,513.56 | $7,079.46 | $7,079.46 |