| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |
Other Therapeutic Services (also See 095X, an extension of 094X) - Pulmonary Rehabilitation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Sanford Health Plan
| Facility | $100.00 | $100.00 | $100.00 |