| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $64.57 | $114.82 | $120.23 | |
Hally Health
| Facility | $100.00 | $151.36 | $346.74 |
Freestanding 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 | $64.57 | $114.82 | $120.23 | |
Hally Health
| Facility | $100.00 | $151.36 | $346.74 |