| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $239.88 | $239.88 | $239.88 | |
MountainHealth Co-op
| Facility | $257.04 | $263.03 | $288.40 | |
Providence
| Facility | $138.04 | $223.87 | $275.42 |
Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $239.88 | $239.88 | $239.88 | |
MountainHealth Co-op
| Facility | $257.04 | $263.03 | $288.40 | |
Providence
| Facility | $138.04 | $223.87 | $275.42 |