| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $1,412.54 | $1,819.70 | $1,819.70 | |
Medcost
| Facility | $1,202.26 | $1,412.54 | $1,949.84 |
Prolonged Extracorporeal Circulation Init Day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $1,412.54 | $1,819.70 | $1,819.70 | |
Medcost
| Facility | $1,202.26 | $1,412.54 | $1,949.84 |