| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.24 | $21.24 | $21.24 | |
Aetna
| Professional | $21.24 | $21.24 | $21.24 | |
Medica
| Facility | $21.24 | $21.24 | $80.00 |
Services Performed By A Qualified Occupational Therapist In The Home Health Setting In The Establishment Or Delivery Of A Safe And Effective Occupational Therapy Maintenance Program Each 15 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.24 | $21.24 | $21.24 | |
Aetna
| Professional | $21.24 | $21.24 | $21.24 | |
Medica
| Facility | $21.24 | $21.24 | $80.00 |