| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Facility | $96,752.70 | $96,752.70 | $107,503.00 |
Maj Shldr/Elbow,Oth Uppr Extr Proc W Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Facility | $96,752.70 | $96,752.70 | $107,503.00 |