| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $12,005.75 | $12,005.75 | $12,005.75 | |
United
| Facility | $12,005.75 | $12,005.75 | $12,005.75 |
Deep Vein Thrombophlebitis without CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $12,005.75 | $12,005.75 | $12,005.75 | |
United
| Facility | $12,005.75 | $12,005.75 | $12,005.75 |