| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $839.99 | $839.99 | $839.99 | |
Moda Health
| Facility | $353.08 | $1,387.65 | $1,984.34 | |
Providence
| Facility | $353.08 | $1,387.65 | $1,984.34 |
Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $839.99 | $839.99 | $839.99 | |
Moda Health
| Facility | $353.08 | $1,387.65 | $1,984.34 | |
Providence
| Facility | $353.08 | $1,387.65 | $1,984.34 |