| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,299.00 | $2,060.00 | $33,274.24 | |
Hometown Health
| Facility | $14,772.60 | $22,654.28 | $25,814.85 | |
United
| Facility | $51,297.21 | $51,297.21 | $51,297.21 |
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,299.00 | $2,060.00 | $33,274.24 | |
Hometown Health
| Facility | $14,772.60 | $22,654.28 | $25,814.85 | |
United
| Facility | $51,297.21 | $51,297.21 | $51,297.21 |