| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Professional | $80,849.19 | $80,849.19 | $80,849.19 | |
Molina
| Professional | $316.76 | $380.11 | $427.62 |
Expl N/Flwd Surg Rpr W/Wo Lysis Other Artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Professional | $80,849.19 | $80,849.19 | $80,849.19 | |
Molina
| Professional | $316.76 | $380.11 | $427.62 |