| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.19 | $0.19 | $0.19 | |
Hometown Health
| Professional | $0.19 | $0.19 | $0.19 |
Diphtheria antitoxin, equine, any route
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.19 | $0.19 | $0.19 | |
Hometown Health
| Professional | $0.19 | $0.19 | $0.19 |