| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $53,064.79 | $74,983.17 | $121,637.33 | |
Hometown Health
| Facility | $39,253.08 | $58,944.14 | $68,171.12 | |
United
| Facility | $136,304.62 | $136,304.62 | $136,304.62 |
Multiple Sclerosis and Cerebellar Ataxia without CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $53,064.79 | $74,983.17 | $121,637.33 | |
Hometown Health
| Facility | $39,253.08 | $58,944.14 | $68,171.12 | |
United
| Facility | $136,304.62 | $136,304.62 | $136,304.62 |