| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.60 | $288.60 | $288.60 | |
CareSource
| Facility | $321.45 | $378.70 | $412.59 | |
Cigna
| Facility | $346.00 | $346.00 | $346.00 |
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 | $288.60 | $288.60 | $288.60 | |
CareSource
| Facility | $321.45 | $378.70 | $412.59 | |
Cigna
| Facility | $346.00 | $346.00 | $346.00 |