| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,799.28 | $5,266.29 | $7,095.63 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $1,799.28 | $5,266.29 | $7,095.63 |