| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $2.13 | $190.00 | $497.38 | |
Hometown Health
| Professional | $2.13 | $2.13 | $2.13 |
Cerebrospinal Fluid Flow W/O Matl Tomog Spect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $2.13 | $190.00 | $497.38 | |
Hometown Health
| Professional | $2.13 | $2.13 | $2.13 |