| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Quartz
| Facility | $90.00 | $90.00 | $90.00 |
Genvisc, Inj, 1mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Quartz
| Facility | $90.00 | $90.00 | $90.00 |