| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $6,000.00 | $54,882.00 | $54,882.00 | |
United
| Facility | $6,000.00 | $6,000.00 | $12,203.00 |
Percutaneous Cardiovascular Procedures With Non Drug Eluting Stent Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $6,000.00 | $54,882.00 | $54,882.00 | |
United
| Facility | $6,000.00 | $6,000.00 | $12,203.00 |