| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $39.81 | $50.12 | $50.12 | |
Wellpoint
| Professional | $50.12 | $50.12 | $50.12 |
Miscellaneous component, supply or accessory for use with total artificial heart system
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $39.81 | $50.12 | $50.12 | |
Wellpoint
| Professional | $50.12 | $50.12 | $50.12 |