| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $54.95 | $1,318.26 | $3,630.78 | |
Medica
| Professional | $5,370.32 | $5,370.32 | $5,370.32 |
Evasc Rpr Iliac Art Ilio-Iliac Prosthesis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $54.95 | $1,318.26 | $3,630.78 | |
Medica
| Professional | $5,370.32 | $5,370.32 | $5,370.32 |