| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $399.48 | $729.04 | $761.13 |
Tcat Ther Infusion Oth/Thn Thrombolysis Any Type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $399.48 | $729.04 | $761.13 |