| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $493.00 | $526.00 | $822.80 |
Expl N/Flwd Surg Rpr W/Wo Lysis Other Artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $493.00 | $526.00 | $822.80 |