| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $362.46 | $362.46 | $466.61 | |
Medica
| Facility | $55.00 | $454.26 | $2,608.00 | |
United
| Facility | $825.00 | $2,081.00 | $3,918.00 |
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 | $362.46 | $362.46 | $466.61 | |
Medica
| Facility | $55.00 | $454.26 | $2,608.00 | |
United
| Facility | $825.00 | $2,081.00 | $3,918.00 |