| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Harvard Pilgrim
| Facility | $11,481.54 | $22,387.21 | $23,442.29 |
Deep Vein Thrombophlebitis With Cc Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Harvard Pilgrim
| Facility | $11,481.54 | $22,387.21 | $23,442.29 |