| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $8,511.38 | $12,302.69 | |
United
| Facility | $60,255.96 | $63,095.73 | $66,069.34 |
Leave Of Absence - Icf/Mr - Any Reason
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $8,511.38 | $12,302.69 | |
United
| Facility | $60,255.96 | $63,095.73 | $66,069.34 |
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