| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Facility | $16,751.70 | $16,751.70 | $18,613.00 |
Appendectomy With Complicated Principal Diagnosis With Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Facility | $16,751.70 | $16,751.70 | $18,613.00 |