| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Harvard Pilgrim
| Professional | $224.22 | $224.22 | $224.22 |
Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a Medicare qualifying clinical trial, per day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Harvard Pilgrim
| Professional | $224.22 | $224.22 | $224.22 |