| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $361.84 | $460.53 | $518.33 |
Tcat Ther Infusion Oth/Thn Thrombolysis Any Type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $361.84 | $460.53 | $518.33 |