| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $2.24 | $2.57 | $2.57 | |
United
| Professional | $2.82 | $2.82 | $2.82 |
Irrigation supply; sleeve, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $2.24 | $2.57 | $2.57 | |
United
| Professional | $2.82 | $2.82 | $2.82 |