| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.12 | $78.12 | $78.12 |
Cigna
| Facility | 26 | $74.83 | $74.83 | $74.83 |
Health Alliance Plan
| Facility | 26 | $54.44 | $54.44 | $78.12 |
Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.12 | $78.12 | $78.12 |
Cigna
| Facility | 26 | $74.83 | $74.83 | $74.83 |
Health Alliance Plan
| Facility | 26 | $54.44 | $54.44 | $78.12 |