| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Providence
| Facility | $54,657.00 | $54,657.00 | $54,657.00 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Providence
| Facility | $54,657.00 | $54,657.00 | $54,657.00 |