| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $20,971.78 | $20,971.78 | $20,971.78 | |
Sanford Health Plan
| Facility | $950.00 | $950.00 | $950.00 |
Deep Vein Thrombophlebitis With Cc Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $20,971.78 | $20,971.78 | $20,971.78 | |
Sanford Health Plan
| Facility | $950.00 | $950.00 | $950.00 |