| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12,345.23 | $12,345.23 | $12,345.23 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |
Acquisition of Body Components - Unknown Donor
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12,345.23 | $12,345.23 | $12,345.23 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |