| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,465.00 | $6,640.00 | $7,032.00 | |
Emblem Health
| Facility | $9,721.00 | $9,721.00 | $9,721.00 | |
Highmark BCBS
| Facility | $7,997.85 | $7,997.85 | $7,997.85 |
Other Therapeutic Services (see also 095X, an extension of 094X)-Complex Medical Equipment-Ancillary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,465.00 | $6,640.00 | $7,032.00 | |
Emblem Health
| Facility | $9,721.00 | $9,721.00 | $9,721.00 | |
Highmark BCBS
| Facility | $7,997.85 | $7,997.85 | $7,997.85 |