| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |
Medical/Surgical Supplies Extension of 027X-Supplies Incident to Other DX Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |