| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.44 | $61.52 | $93.65 |
Cigna
| Facility | 26 | $60.17 | $60.17 | $60.17 |
Medcost
| Facility | 26 | $77.00 | $77.00 | $150.10 |
Wellcare
| Facility | 26 | $124.11 | $251.61 | $251.61 |
Lymphangiography Pelvic/Abdominal Bilateral Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.44 | $61.52 | $93.65 |
Cigna
| Facility | 26 | $60.17 | $60.17 | $60.17 |
Medcost
| Facility | 26 | $77.00 | $77.00 | $150.10 |
Wellcare
| Facility | 26 | $124.11 | $251.61 | $251.61 |