| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $891.25 | $1,096.48 | $1,584.89 |
Prolonged Extracorporeal Circulation Init Day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $891.25 | $1,096.48 | $1,584.89 |