| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $2,114.32 | $2,608.56 | |
Medica
| Professional | $8,781.00 | $8,781.00 | $8,781.00 |
Evasc Rpr Aaa W/Mdlr Bfrc Prosth 2 Limbs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $2,114.32 | $2,608.56 | |
Medica
| Professional | $8,781.00 | $8,781.00 | $8,781.00 |