| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,086.16 | $3,086.16 | $3,086.16 | |
Medica
| Professional | $16,162.39 | $16,162.39 | $16,162.39 |
Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation lesion, intracranial for movement disorder including stereotactic navigation and frame placement when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,086.16 | $3,086.16 | $3,086.16 | |
Medica
| Professional | $16,162.39 | $16,162.39 | $16,162.39 |