| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.55 | $303.52 | $455.30 | |
United
| Facility | $590.00 | $1,230.00 | $2,539.00 |
Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.55 | $303.52 | $455.30 | |
United
| Facility | $590.00 | $1,230.00 | $2,539.00 |