| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $5.14 | $11.90 | $41.02 |
Injection Lidocaine Hcl For Intravenous Infusion 10 Mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $5.14 | $11.90 | $41.02 |