| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $339.89 | $627.29 | $627.29 | |
Medica
| Professional | $893.86 | $893.86 | $893.86 |
Radex Gi Upr W/Wo Glucose W/Sm Intest Follw-Thru
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $339.89 | $627.29 | $627.29 | |
Medica
| Professional | $893.86 | $893.86 | $893.86 |