| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.72 | $131.72 | $131.72 | |
Aetna
| Professional | $131.72 | $131.72 | $131.72 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |
Hospice care provided in nursing long-term care facility (LTC) or nonskilled nursing facility (NF)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.72 | $131.72 | $131.72 | |
Aetna
| Professional | $131.72 | $131.72 | $131.72 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |