| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $4,457.00 | $9,529.28 | $14,058.14 |
Deep vein thrombophlebitis with CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $4,457.00 | $9,529.28 | $14,058.14 |