| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $233.01 | $300.58 | $497.30 | |
United
| Facility | $6,295.00 | $6,295.00 | $6,295.00 |
Thrombolysis Art/Venous Infsn W/Image Subsq Tx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $233.01 | $300.58 | $497.30 | |
United
| Facility | $6,295.00 | $6,295.00 | $6,295.00 |