| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $4.97 | $190.00 | $639.00 | |
Hometown Health
| Professional | $4.26 | $4.26 | $4.26 |
Expl N/Flwd Surg Rpr W/Wo Lysis Popliteal Artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $4.97 | $190.00 | $639.00 | |
Hometown Health
| Professional | $4.26 | $4.26 | $4.26 |