| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Sentara
| Facility | $13,403.00 | $13,853.00 | $15,015.00 |
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 |
|---|---|---|---|---|---|
Sentara
| Facility | $13,403.00 | $13,853.00 | $15,015.00 |