| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.13 | $76.54 | $107.92 |
Hally Health
| Professional | 26 | $51.46 | $75.67 | $230.67 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Lymphangiography Extremity Only Unilateral Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.13 | $76.54 | $107.92 |
Hally Health
| Professional | 26 | $51.46 | $75.67 | $230.67 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |