| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $12,022.64 | $12,022.64 | $12,022.64 | |
Midlands
| Facility | $5,248.07 | $12,589.25 | $15,488.17 | |
United
| Facility | $12,022.64 | $12,022.64 | $12,022.64 |
Deep Vein Thrombophlebitis without CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $12,022.64 | $12,022.64 | $12,022.64 | |
Midlands
| Facility | $5,248.07 | $12,589.25 | $15,488.17 | |
United
| Facility | $12,022.64 | $12,022.64 | $12,022.64 |