| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Professional | $119,998.80 | $119,998.80 | $119,998.80 |
Detcj Ia Meds Sbst Suppl & Foods 120+ Analytes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Professional | $119,998.80 | $119,998.80 | $119,998.80 |