| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $112.51 | $112.51 | $112.51 | |
Christus
| Facility | $28.00 | $41.00 | $41.00 | |
United
| Facility | $100.00 | $5,000.00 | $5,000.01 |
Medical/Surgical Supplies and Devices-Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $112.51 | $112.51 | $112.51 | |
Christus
| Facility | $28.00 | $41.00 | $41.00 | |
United
| Facility | $100.00 | $5,000.00 | $5,000.01 |