| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Facility | $12,305.70 | $12,305.70 | $13,673.00 |
Appendectomy With Complicated Principal Diagnosis Without Cc Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Facility | $12,305.70 | $12,305.70 | $13,673.00 |