| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $1,917.34 | $5,062.97 | |
Medica
| Professional | $8,345.00 | $8,345.00 | $8,345.00 |
Evasc Rpr Aaa W/Mdlr Bfrc Prosth 1 Limb
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $1,917.34 | $5,062.97 | |
Medica
| Professional | $8,345.00 | $8,345.00 | $8,345.00 |