| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $7,500.00 | $9,032.20 | $18,333.30 |
Deep Vein Thrombophlebitis without CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $7,500.00 | $9,032.20 | $18,333.30 |