| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.76 | $96.35 | $160.58 | |
Hometown Health
| Professional | $0.76 | $0.76 | $0.76 |
Radex Gi Tract Upper W/Wo Delayed Images W/Kub
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.76 | $96.35 | $160.58 | |
Hometown Health
| Professional | $0.76 | $0.76 | $0.76 |