| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.31 | $0.31 | $20.42 | |
Hometown Health
| Professional | $0.31 | $0.31 | $0.31 |
Hlth&Behavior Assmt Ea 15 Min W/Pt Re-Assmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.31 | $0.31 | $20.42 | |
Hometown Health
| Professional | $0.31 | $0.31 | $0.31 |