| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $66,050.85 | $92,826.10 | $116,028.10 | |
Hometown Health
| Facility | $45,985.45 | $73,208.82 | $84,552.36 | |
United
| Facility | $159,682.46 | $159,682.46 | $159,682.46 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $66,050.85 | $92,826.10 | $116,028.10 | |
Hometown Health
| Facility | $45,985.45 | $73,208.82 | $84,552.36 | |
United
| Facility | $159,682.46 | $159,682.46 | $159,682.46 |