| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $258.00 | $258.00 | $258.00 | |
Providence
| Facility | $258.00 | $258.00 | $258.00 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $258.00 | $258.00 | $258.00 | |
Providence
| Facility | $258.00 | $258.00 | $258.00 |