| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $3,457.05 | $3,457.05 | $3,778.71 |
Evasc Rpr Aaa W/Mdlr Bfrc Prosth 1 Limb
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $3,457.05 | $3,457.05 | $3,778.71 |