| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $2,576.63 | $3,459.78 | |
Medica
| Professional | $7,624.00 | $7,624.00 | $7,624.00 |
Staging Celiotomy (Laparotomy) For Hodgkin'S Disease Or Lymphoma (Includes Splenectomy, Needle Or Open Biopsies Of Bo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $2,576.63 | $3,459.78 | |
Medica
| Professional | $7,624.00 | $7,624.00 | $7,624.00 |