| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $279.12 | $279.12 | $279.12 | |
Providence
| Facility | $340.49 | $344.82 | $390.88 | |
United
| Facility | $3,085.00 | $3,085.00 | $4,616.00 |
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 | $279.12 | $279.12 | $279.12 | |
Providence
| Facility | $340.49 | $344.82 | $390.88 | |
United
| Facility | $3,085.00 | $3,085.00 | $4,616.00 |