| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Facility | $150.00 | $150.00 | $150.00 | |
Wellmark
| Facility | $18,170.00 | $28,440.00 | $40,290.00 |
Freestanding Clinic - Visit By RHC/FQHC Practitioner To A Member In a SNF or Skilled Swing Bed In A Covered Part A Stay
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Facility | $150.00 | $150.00 | $150.00 | |
Wellmark
| Facility | $18,170.00 | $28,440.00 | $40,290.00 |