| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47.63 | $443.38 | $1,547.64 |
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 | $47.63 | $443.38 | $1,547.64 |