| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $27.46 | $58.92 | $118.62 | |
Medica
| Professional | $217.25 | $217.25 | $217.25 |
Checkout Orthotic/Prosthetic Estab Pt Ea 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $27.46 | $58.92 | $118.62 | |
Medica
| Professional | $217.25 | $217.25 | $217.25 |