| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $186.03 | $292.50 | $861.84 |
Domicil/Rest Home New Pt Visit Mod Sever 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $186.03 | $292.50 | $861.84 |