| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.81 | $0.81 | $154.88 | |
Hometown Health
| Professional | $0.81 | $0.81 | $0.81 |
Radex Upper Gi W/Wo Glucagon/Delay Images W/Kub
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.81 | $0.81 | $154.88 | |
Hometown Health
| Professional | $0.81 | $0.81 | $0.81 |