| 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-Visiting Nurse Service (s) to a Member's Home When in a Home Health Shortage Area
| 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 |