| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | 26 | $68.73 | $110.09 | $214.69 |
Medica
| Facility | 26 | $412.00 | $412.00 | $412.00 |
Endoluminal Coronary Ivus Oct I&R Addl Vessel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | 26 | $68.73 | $110.09 | $214.69 |
Medica
| Facility | 26 | $412.00 | $412.00 | $412.00 |