| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1,181.88 | $1,390.45 | $2,100.65 |
Evasc Rpr Aaa W/Mdlr Bfrc Prosth 2 Limbs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1,181.88 | $1,390.45 | $2,100.65 |