| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1.26 | $148.25 | $247.09 | |
Hometown Health
| Professional | $1.26 | $1.26 | $1.26 |
Rp Loclzj Inflammatory Process Limited Area
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1.26 | $148.25 | $247.09 | |
Hometown Health
| Professional | $1.26 | $1.26 | $1.26 |