| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $35.11 | $35.11 | $35.11 |
Medcost
| Facility | 26 | $54.00 | $69.00 | $120.95 |
Lymphangiography Extremity Only Unilateral Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $35.11 | $35.11 | $35.11 |
Medcost
| Facility | 26 | $54.00 | $69.00 | $120.95 |