| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $30.45 | $371.12 | $1,623.16 | |
Cigna
| Facility | $68.25 | $68.25 | $68.25 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $30.45 | $371.12 | $1,623.16 | |
Cigna
| Facility | $68.25 | $68.25 | $68.25 |