| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $41,686.94 | $41,686.94 | $41,686.94 | |
Medical Mutual of Ohio
| Professional | $56.23 | $56.23 | $56.23 |
Physical Therapy Re-Evaluation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $41,686.94 | $41,686.94 | $41,686.94 | |
Medical Mutual of Ohio
| Professional | $56.23 | $56.23 | $56.23 |