| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $45.00 | $60.00 | $1,537.59 |
Expl N/Flwd Surg Rpr W/Wo Lysis Popliteal Artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $45.00 | $60.00 | $1,537.59 |