| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $361.27 | $457.36 | $1,083.29 | |
Medica
| Professional | $5,807.00 | $5,807.00 | $5,807.00 |
Trluml Balo Angioplasty Renal/Oth Visc Art Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $361.27 | $457.36 | $1,083.29 | |
Medica
| Professional | $5,807.00 | $5,807.00 | $5,807.00 |