| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $172.37 | $174.14 | $196.96 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $172.37 | $174.14 | $196.96 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |