| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.83 | $27.83 | $27.83 | |
Aetna
| Professional | $27.83 | $43.85 | $50.34 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 | |
United
| Professional | $40.40 | $55.05 | $88.78 |
Interrogation Dev Eval Icds W/Ss Eltrd In Person
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.83 | $27.83 | $27.83 | |
Aetna
| Professional | $27.83 | $43.85 | $50.34 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 | |
United
| Professional | $40.40 | $55.05 | $88.78 |