| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $5.12 | $5.12 | $190.00 | |
Hometown Health
| Professional | $5.12 | $5.12 | $5.12 |
Drug Screen List A Single Drug Class Method
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $5.12 | $5.12 | $190.00 | |
Hometown Health
| Professional | $5.12 | $5.12 | $5.12 |