| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.89 | $66.09 | $79.31 |
Hometown Health
| Professional | 26 | $0.54 | $76.00 | $101.46 |
Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.89 | $66.09 | $79.31 |
Hometown Health
| Professional | 26 | $0.54 | $76.00 | $101.46 |