| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $129.00 | $192.53 | $192.54 | |
Oscar Health
| Professional | $107.00 | $140.80 | $169.60 |
Iv Us Non-C Vsl Dx Eval&/Ther Ivntj Ea Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $129.00 | $192.53 | $192.54 | |
Oscar Health
| Professional | $107.00 | $140.80 | $169.60 |