| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $25.00 | $26.75 | $34.18 | |
Medcost
| Professional | $21.00 | $21.00 | $21.00 |
Vacuum drainagebottle/tubing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $25.00 | $26.75 | $34.18 | |
Medcost
| Professional | $21.00 | $21.00 | $21.00 |