| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $103.29 | $163.90 | $225.06 | |
Medica
| Professional | $1,890.00 | $1,890.00 | $1,890.00 |
Postop Biliary Stone Rmvl Prq T-Tube Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $103.29 | $163.90 | $225.06 | |
Medica
| Professional | $1,890.00 | $1,890.00 | $1,890.00 |