| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $19.60 | $70.00 | $2,488.79 | |
Hometown Health
| Professional | $16.80 | $16.80 | $16.80 |
Surgery-Intergumentary System
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $19.60 | $70.00 | $2,488.79 | |
Hometown Health
| Professional | $16.80 | $16.80 | $16.80 |