| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $881.94 | $1,077.92 | $2,417.76 | |
Medica
| Professional | $5,352.35 | $5,352.35 | $5,352.35 |
Evasc Rpr Iliac Art Ilio-Iliac Prosthesis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $881.94 | $1,077.92 | $2,417.76 | |
Medica
| Professional | $5,352.35 | $5,352.35 | $5,352.35 |