| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $215.29 | $354.12 | $354.12 |
Dom/R-Home E/M Est Pt Lw Mod Severity 25 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $215.29 | $354.12 | $354.12 |