| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HealthNet
| Facility | $3,090.30 | $11,748.98 | $26,915.35 | |
Kaiser Permanente
| Facility | $199.53 | $199.53 | $338.84 |
Medical/Surgical Supplies and Devices - Other Implants
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HealthNet
| Facility | $3,090.30 | $11,748.98 | $26,915.35 | |
Kaiser Permanente
| Facility | $199.53 | $199.53 | $338.84 |