| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $354.09 | $370.85 | $464.60 | |
Harvard Pilgrim
| Professional | $4,776.85 | $4,776.85 | $4,776.85 | |
United
| Professional | $3,169.76 | $3,169.76 | $4,776.85 |
Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained without concurrent CT examination of any structure contained in previously acquired diagnostic imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $354.09 | $370.85 | $464.60 | |
Harvard Pilgrim
| Professional | $4,776.85 | $4,776.85 | $4,776.85 | |
United
| Professional | $3,169.76 | $3,169.76 | $4,776.85 |