| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.66 | $42.66 | $51.29 |
Hometown Health
| Professional | 26 | $0.45 | $51.29 | $70.79 |
Lymphangiography, extremity only, unilateral, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.66 | $42.66 | $51.29 |
Hometown Health
| Professional | 26 | $0.45 | $51.29 | $70.79 |