| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $128.79 | $202.50 | $593.04 |
Domicil/Rest Home New Pt Visit Low Sever 20 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $128.79 | $202.50 | $593.04 |