| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $19,944.99 | $25,866.53 | $29,167.78 |
Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $19,944.99 | $25,866.53 | $29,167.78 |