| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $1,348.96 | $1,698.24 | $1,698.24 | |
Medcost
| Facility | $1,047.13 | $1,318.26 | $1,819.70 |
Evasc Rpr Iliac Art Ilio-Iliac Prosthesis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $1,348.96 | $1,698.24 | $1,698.24 | |
Medcost
| Facility | $1,047.13 | $1,318.26 | $1,819.70 |