| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $5,091.29 | $5,091.29 | $5,091.29 | |
Medcost
| Professional | $1,775.00 | $2,096.00 | $2,653.00 |
Lam Cordotomy Sctj Both Spinothalmic Tracts Crv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $5,091.29 | $5,091.29 | $5,091.29 | |
Medcost
| Professional | $1,775.00 | $2,096.00 | $2,653.00 |