| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $6.68 | $6.68 | $6.68 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |
Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $6.68 | $6.68 | $6.68 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |