| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $153.56 | $156.99 | $1,083.29 | |
Medica
| Professional | $5,807.00 | $5,807.00 | $5,807.00 |
Evasc Rpr Iliac Art W/Ilio-Iliac Prosth Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $153.56 | $156.99 | $1,083.29 | |
Medica
| Professional | $5,807.00 | $5,807.00 | $5,807.00 |