| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $165.86 | $207.02 | $283.79 | |
Wellcare
| Facility | $310.01 | $310.01 | $338.98 | |
Wellcare
| Professional | $702.03 | $702.03 | $826.04 |
Complx Chron Care Coord W/ Pt Vst 1St Hr Per Mo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $165.86 | $207.02 | $283.79 | |
Wellcare
| Facility | $310.01 | $310.01 | $338.98 | |
Wellcare
| Professional | $702.03 | $702.03 | $826.04 |