| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.91 | $64.91 | $64.91 |
Midlands
| Facility | 26 | $225.36 | $225.36 | $225.36 |
Sanford Health Plan
| Professional | 26 | $83.33 | $110.08 | $125.50 |
Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.91 | $64.91 | $64.91 |
Midlands
| Facility | 26 | $225.36 | $225.36 | $225.36 |
Sanford Health Plan
| Professional | 26 | $83.33 | $110.08 | $125.50 |