| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Excellus BCBS
| Facility | $358.89 | $358.89 | $358.89 | |
Univera
| Facility | $358.89 | $358.89 | $358.89 |
Professional Fees (Extension of 096X)-Occupational Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Excellus BCBS
| Facility | $358.89 | $358.89 | $358.89 | |
Univera
| Facility | $358.89 | $358.89 | $358.89 |