| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $331.13 | $331.13 | $331.13 |
Dermal Injection Procedure(S) For Facial Lipodystrophy Syndrome (Lds) And Provision Of Radiesse Or Sculptra Dermal Fille
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $331.13 | $331.13 | $331.13 |