| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellcare
| Facility | $102.57 | $180.39 | $321.18 |
Domicil/Rest Home New Pt Visit Mod Sever 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellcare
| Facility | $102.57 | $180.39 | $321.18 |