| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $5,754.40 | $5,754.40 | $5,754.40 | |
United
| Facility | $5,754.40 | $5,754.40 | $5,754.40 |
Deep Vein Thrombophlebitis without CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $5,754.40 | $5,754.40 | $5,754.40 | |
United
| Facility | $5,754.40 | $5,754.40 | $5,754.40 |