| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $133.37 | $160.85 | $160.85 |
Transcath Plcmnt Wirlss Physlogic Sensr Aneurysmal Sac Endovasclr Repr, Radlogical Supervis & Interpret, Instrumnt Calibratn & Collect Pressr Dt List Separate Additin Code Primry Procedre
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $133.37 | $160.85 | $160.85 |