| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $159.76 | $187.95 | $197.35 |
Trluml Balo Angioplasty Renal/Oth Visc Art Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $159.76 | $187.95 | $197.35 |