| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Facility | $12,566.70 | $12,566.70 | $13,963.00 |
Deep Vein Thrombophlebitis With Cc Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Facility | $12,566.70 | $12,566.70 | $13,963.00 |