| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $58.71 | $71.97 | $109.57 |
Cigna
| Facility | 26 | $74.83 | $74.83 | $74.83 |
Medcost
| Facility | 26 | $94.00 | $119.00 | $237.65 |
Wellcare
| 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 | $58.71 | $71.97 | $109.57 |
Cigna
| Facility | 26 | $74.83 | $74.83 | $74.83 |
Medcost
| Facility | 26 | $94.00 | $119.00 | $237.65 |
Wellcare
| Facility | 26 | $155.65 | $318.20 | $318.20 |