| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1.07 | $1.07 | $1.07 | |
Hometown Health
| Professional | $1.07 | $1.07 | $1.07 | |
United
| Professional | $115.11 | $115.11 | $115.11 |
Indiv Phys Supvj Home/Dom/R-Home Mo 30 Min/>
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1.07 | $1.07 | $1.07 | |
Hometown Health
| Professional | $1.07 | $1.07 | $1.07 | |
United
| Professional | $115.11 | $115.11 | $115.11 |