| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $52.81 | $52.81 | $52.81 | |
Anthem BCBS
| Facility | $217.80 | $245.70 | $712.00 |
Other Therapeutic Services (also See 095X, an extension of 094X) - Pulmonary Rehabilitation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $52.81 | $52.81 | $52.81 | |
Anthem BCBS
| Facility | $217.80 | $245.70 | $712.00 |