| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.86 | $64.80 | $371.88 |
Cigna
| Facility | 26 | $66.94 | $66.94 | $105.98 |
Medica
| Facility | 26 | $155.65 | $303.95 | $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 | $52.86 | $64.80 | $371.88 |
Cigna
| Facility | 26 | $66.94 | $66.94 | $105.98 |
Medica
| Facility | 26 | $155.65 | $303.95 | $303.95 |