| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $678.35 | $678.35 | $678.35 | |
Medica
| Professional | $825.93 | $825.93 | $825.93 |
Radex Gi Tract Upr W/Sm Int W/Mult Serial Images
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $678.35 | $678.35 | $678.35 | |
Medica
| Professional | $825.93 | $825.93 | $825.93 |