| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.30 | $61.60 | $94.25 | |
Hometown Health
| Professional | $0.30 | $61.60 | $92.40 | |
United
| Professional | $35.38 | $35.38 | $80.08 |
Dom/R-Home E/M Est Pt Self-Lmtd/Minor 15 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.30 | $61.60 | $94.25 | |
Hometown Health
| Professional | $0.30 | $61.60 | $92.40 | |
United
| Professional | $35.38 | $35.38 | $80.08 |