| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $1,527.37 | $1,825.08 | $2,318.38 | |
Medcost
| Professional | $1,634.00 | $1,793.00 | $2,729.35 |
Evasc Rpr Aaa W/Mdlr Bfrc Prosth 2 Limbs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $1,527.37 | $1,825.08 | $2,318.38 | |
Medcost
| Professional | $1,634.00 | $1,793.00 | $2,729.35 |