| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $489.78 | $588.84 | $645.65 |
Tcat Ther Infusion Oth/Thn Thrombolysis Any Type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $489.78 | $588.84 | $645.65 |