| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.28 | $43.32 | $69.17 |
Cigna
| Facility | 26 | $48.31 | $48.31 | $48.31 |
Medcost
| Facility | 26 | $54.00 | $60.26 | $115.76 |
Wellcare
| Facility | 26 | $100.00 | $205.82 | $205.82 |
Lymphangiography Extremity Only Unilateral Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.28 | $43.32 | $69.17 |
Cigna
| Facility | 26 | $48.31 | $48.31 | $48.31 |
Medcost
| Facility | 26 | $54.00 | $60.26 | $115.76 |
Wellcare
| Facility | 26 | $100.00 | $205.82 | $205.82 |