| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,013.39 | $3,208.96 | $3,273.42 | |
Medcost
| Facility | $372.35 | $372.35 | $426.98 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained with concurrent CT examination of any structure contained in the concurrently acquired diagnostic imaging dataset (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,013.39 | $3,208.96 | $3,273.42 | |
Medcost
| Facility | $372.35 | $372.35 | $426.98 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |