| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.28 | $213.28 | $213.28 | |
Aetna
| Professional | $213.28 | $213.28 | $213.28 | |
United
| Professional | $193.80 | $241.14 | $286.00 |
Physician Service Or Other Qualified Health Care Professional For The Evaluation And Management Of A Beneficiarys Acute Change In Condition In A Nursing Facility. This Service Is For A Demon- Stration Project (Desc Rvsd 1/1/19)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.28 | $213.28 | $213.28 | |
Aetna
| Professional | $213.28 | $213.28 | $213.28 | |
United
| Professional | $193.80 | $241.14 | $286.00 |