| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.55 | $106.15 | $174.45 | |
Hometown Health
| Professional | $0.55 | $92.30 | $138.44 | |
United
| Professional | $85.00 | $85.00 | $85.00 |
Prolonged Svc I/P Or Obs Setting Ea Addl 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.55 | $106.15 | $174.45 | |
Hometown Health
| Professional | $0.55 | $92.30 | $138.44 | |
United
| Professional | $85.00 | $85.00 | $85.00 |