| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $62.00 | $108.00 | $114.00 | |
Hally Health
| Facility | $100.00 | $125.00 | $345.40 |
Free-Standing Clinic - Visit by RHC/FQHC practitioner to a member in a SNF (not in a covered Part A stay) or NF or ICF MR or other residential facility
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $62.00 | $108.00 | $114.00 | |
Hally Health
| Facility | $100.00 | $125.00 | $345.40 |