| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Professional | $74.89 | $96.91 | $142.01 |
Dom/R-Home E/M Est Pt Lw Mod Severity 25 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Professional | $74.89 | $96.91 | $142.01 |