| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $201.93 | $317.50 | $1,015.68 |
Dom/R-Home E/M Est Pt Lw Mod Severity 25 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $201.93 | $317.50 | $1,015.68 |