| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1.13 | $131.21 | $218.68 | |
Hometown Health
| Professional | $1.13 | $1.13 | $1.13 |
Radex Gi Upr W/Wo Glucose W/Sm Intest Follw-Thru
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1.13 | $131.21 | $218.68 | |
Hometown Health
| Professional | $1.13 | $1.13 | $1.13 |