| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.16 | $284.16 | $284.16 | |
Medica
| Facility | $284.16 | $340.91 | $852.48 |
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 | $284.16 | $284.16 | $284.16 | |
Medica
| Facility | $284.16 | $340.91 | $852.48 |