| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $74.45 | $90.54 | $148.97 |
Medica
| Facility | 26 | $155.65 | $155.65 | $303.95 |
Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $74.45 | $90.54 | $148.97 |
Medica
| Facility | 26 | $155.65 | $155.65 | $303.95 |