| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $67.61 | $67.61 | $67.61 | |
BCBS
| Facility | $41.69 | $204.17 | $1,023.29 |
Other Therapeutic Services (see also 095X, an extension of 094X)-Other Therapeutic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $67.61 | $67.61 | $67.61 | |
BCBS
| Facility | $41.69 | $204.17 | $1,023.29 |