| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $200.00 | $200.00 | $322.00 | |
Pacific Source
| Facility | $38.08 | $182.92 | $848.64 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente
| Facility | $200.00 | $200.00 | $322.00 | |
Pacific Source
| Facility | $38.08 | $182.92 | $848.64 |