| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.88 | $51.88 | $188.37 |
AllWays Health Partners
| Facility | 26 | $152.15 | $159.82 | $318.20 |
Mass General Brigham
| Facility | 26 | $155.65 | $318.20 | $318.20 |
Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.88 | $51.88 | $188.37 |
AllWays Health Partners
| Facility | 26 | $152.15 | $159.82 | $318.20 |
Mass General Brigham
| Facility | 26 | $155.65 | $318.20 | $318.20 |