| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $145.69 | $195.00 | $418.25 |
Plmt Xtn Prosth Evasc Rpr Infrarenal Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $145.69 | $195.00 | $418.25 |