| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.42 | $122.42 | $122.42 | |
Aetna
| Professional | $121.56 | $122.42 | $122.42 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 | |
Medica
| Facility | $122.42 | $206.89 | $333.07 |
Federally Qualified Health Center (FQHC) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of Medicare-covered services that would be furnished per diem to a patient receiving a FQHC visit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.42 | $122.42 | $122.42 | |
Aetna
| Professional | $121.56 | $122.42 | $122.42 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 | |
Medica
| Facility | $122.42 | $206.89 | $333.07 |