| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,989.00 | $9,720.00 | $16,411.00 | |
CDPHP
| Facility | $1,948.59 | $1,948.59 | $16,534.50 | |
CDPHP
| Professional | $1,948.59 | $1,948.59 | $1,948.59 |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,989.00 | $9,720.00 | $16,411.00 | |
CDPHP
| Facility | $1,948.59 | $1,948.59 | $16,534.50 | |
CDPHP
| Professional | $1,948.59 | $1,948.59 | $1,948.59 |