| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Highmark BCBS
| Facility | $1.36 | $12.97 | $674.16 |
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 |
|---|---|---|---|---|---|
Highmark BCBS
| Facility | $1.36 | $12.97 | $674.16 |