| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Fidelis
| Facility | $222.48 | $222.48 | $442.85 | |
MVP Health Care
| Facility | $108.00 | $361.00 | $537.00 |
Behavioral Health Treatments/Services Extension of 090X-Rehabilitation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Fidelis
| Facility | $222.48 | $222.48 | $442.85 | |
MVP Health Care
| Facility | $108.00 | $361.00 | $537.00 |