| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Facility | $22.91 | $26.30 | $109.65 |
Other Therapeutic Services (see also 095X, an extension of 094X)-Complex Medical Equipment-Routine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Facility | $22.91 | $26.30 | $109.65 |