| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.26 | $0.28 | $5.22 | |
Hometown Health
| Professional | $0.28 | $0.28 | $0.28 |
Hlth&Behavior Ivntj Ea 15 Min Fam W/O Pt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.26 | $0.28 | $5.22 | |
Hometown Health
| Professional | $0.28 | $0.28 | $0.28 |