| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $104.71 | $501.19 | $1,445.44 |
Medical/Surgical Supplies Extension of 027X-Supplies Incident to Other DX Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $104.71 | $501.19 | $1,445.44 |