| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Cigna
| Facility | $185.00 | $185.00 | $185.00 |
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 |
|---|---|---|---|---|---|
Christus
| Facility | $12.00 | $18.00 | $45.00 | |
Cigna
| Facility | $185.00 | $185.00 | $185.00 |