| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1.82 | $2.34 | $489.78 | |
Hometown Health
| Professional | $1.55 | $1.55 | $1.55 |
Tissue Grafts Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1.82 | $2.34 | $489.78 | |
Hometown Health
| Professional | $1.55 | $1.55 | $1.55 |