| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $7,943.28 | $10,000.00 | $13,182.57 |
Deep Vein Thrombophlebitis without CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $7,943.28 | $10,000.00 | $13,182.57 |