| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $1,023.29 | $1,023.29 | $1,023.29 |
Health Insurance Prospective Payment System HIPPS-Inpatient Rehab Facility-PPS
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Facility | $1,023.29 | $1,023.29 | $1,023.29 |