| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $75.00 | $75.00 | $75.00 |
Pst Spinous Process Device Insert Lmbr 1 Lvl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $75.00 | $75.00 | $75.00 |