| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $26.25 | $26.25 | $26.25 |
Rem Interrog Icpms/Scrms <30 D Tech Review
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $26.25 | $26.25 | $26.25 |