| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $265.79 | $265.79 | $265.79 | |
Medica
| Facility | $265.79 | $455.06 | $4,083.73 | |
United
| Facility | $498.00 | $1,928.00 | $3,790.62 |
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 | $265.79 | $265.79 | $265.79 | |
Medica
| Facility | $265.79 | $455.06 | $4,083.73 | |
United
| Facility | $498.00 | $1,928.00 | $3,790.62 |