| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $20,892.96 | $20,892.96 | $20,892.96 |
Deep Vein Thrombophlebitis With Cc Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $20,892.96 | $20,892.96 | $20,892.96 |