| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $907.17 | $1,409.55 | |
Medica
| Professional | $7,159.00 | $7,159.00 | $7,159.00 |
Prolonged Extracorporeal Circulation Ea Addl Day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $907.17 | $1,409.55 | |
Medica
| Professional | $7,159.00 | $7,159.00 | $7,159.00 |