| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.84 | $71.27 | $108.50 |
Cigna
| Facility | 26 | $74.48 | $74.48 | $74.48 |
Medcost
| Facility | 26 | $94.00 | $104.85 | $209.99 |
Wellcare
| Facility | 26 | $154.38 | $314.55 | $314.55 |
Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.84 | $71.27 | $108.50 |
Cigna
| Facility | 26 | $74.48 | $74.48 | $74.48 |
Medcost
| Facility | 26 | $94.00 | $104.85 | $209.99 |
Wellcare
| Facility | 26 | $154.38 | $314.55 | $314.55 |