| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $108.05 | $143.55 | $169.64 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
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 |
|---|---|---|---|---|---|
Medcost
| Facility | $108.05 | $143.55 | $169.64 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |