| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $5,882.00 | $6,347.80 | |
Medica
| Professional | $1,573.44 | $2,247.29 | $11,001.20 |
U-tube hepaticoenterostomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $5,882.00 | $6,347.80 | |
Medica
| Professional | $1,573.44 | $2,247.29 | $11,001.20 |