| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,059.21 | $1,059.21 | $1,059.21 | |
Medica
| Facility | $1,517.11 | $1,790.06 | $2,118.42 |
Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission, interpretation and report, obtained with diagnostic magnetic resonance imaging (MRI) examination of the same anatomy (eg, organ, gland, tissue, target structure) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,059.21 | $1,059.21 | $1,059.21 | |
Medica
| Facility | $1,517.11 | $1,790.06 | $2,118.42 |