| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $29.51 | $52.48 | $181.97 | |
Medica
| Professional | $190.55 | $190.55 | $190.55 |
Physical Therapy Re-Evaluation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $29.51 | $52.48 | $181.97 | |
Medica
| Professional | $190.55 | $190.55 | $190.55 |