| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |
Other Therapeutic Services (also See 095X, an extension of 094X) - Complex Medical Equipment Ancillary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Florida Blue
| Facility | $55.17 | $76.95 | $161.24 |