| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $7,557.62 | $7,557.62 | $7,557.62 | |
United
| Facility | $7,557.62 | $7,557.62 | $7,557.62 |
Deep Vein Thrombophlebitis With Cc Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $7,557.62 | $7,557.62 | $7,557.62 | |
United
| Facility | $7,557.62 | $7,557.62 | $7,557.62 |