| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $9,410.68 | $9,410.68 | $9,410.68 |
Deep vein thrombophlebitis with CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $9,410.68 | $9,410.68 | $9,410.68 |