| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $1,379.89 | $3,658.83 | |
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 | $55.00 | $1,379.89 | $3,658.83 | |
Medica
| Professional | $5,352.35 | $5,352.35 | $5,352.35 |