| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.65 | $84.17 | $140.28 | |
Hometown Health
| Professional | $0.65 | $0.65 | $0.65 |
X-Ray Exam Of Small Bowel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.65 | $84.17 | $140.28 | |
Hometown Health
| Professional | $0.65 | $0.65 | $0.65 |