| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $553.40 | $662.56 | |
Medica
| Professional | $4,155.10 | $4,155.10 | $4,155.10 |
Tcat Ther Infusion Oth/Thn Thrombolysis Any Type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $553.40 | $662.56 | |
Medica
| Professional | $4,155.10 | $4,155.10 | $4,155.10 |