| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $47,999.52 | $47,999.52 | $47,999.52 |
Dom/R-Home E/M Est Pt Signif New Prob 60 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $47,999.52 | $47,999.52 | $47,999.52 |