| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $55.00 | $5,204.25 | $5,204.25 | |
Lucent Health
| 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 |
|---|---|---|---|---|---|
Lucent Health
| Facility | $55.00 | $5,204.25 | $5,204.25 | |
Lucent Health
| Professional | $8,781.00 | $8,781.00 | $8,781.00 |