| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $2.33 | $190.00 | $457.24 | |
Hometown Health
| Professional | $2.33 | $2.33 | $2.33 |
Rp Loclzj Inflammatory Process Tomog Spect
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $2.33 | $190.00 | $457.24 | |
Hometown Health
| Professional | $2.33 | $2.33 | $2.33 |