| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $5.67 | $190.00 | $616.14 | |
Hometown Health
| Professional | $4.86 | $4.86 | $4.86 |
Expl N/Flwd Surg Rpr W/Wo Lysis Other Artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $5.67 | $190.00 | $616.14 | |
Hometown Health
| Professional | $4.86 | $4.86 | $4.86 |