| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $94.27 | $96.99 | $983.45 | |
Medica
| Professional | $5,272.00 | $5,272.00 | $5,272.00 |
Plmt Xtn Prosth Evasc Rpr Infrarenal Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $94.27 | $96.99 | $983.45 | |
Medica
| Professional | $5,272.00 | $5,272.00 | $5,272.00 |