| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Fallon Health
| Facility | $60.26 | $3,630.78 | $9,772.37 |
Other Therapeutic Services (see also 095X, an extension of 094X)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Fallon Health
| Facility | $60.26 | $3,630.78 | $9,772.37 |