| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $25.00 | $35.00 | $35.00 | |
Medical Mutual of Ohio
| Facility | $25.00 | $25.00 | $25.00 |
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 | $25.00 | $35.00 | $35.00 | |
Medical Mutual of Ohio
| Facility | $25.00 | $25.00 | $25.00 |