| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.83 | $257.83 | $257.83 | |
Kaiser Permanente
| Professional | $274.29 | $572.12 | $572.12 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 |
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 | $257.83 | $257.83 | $257.83 | |
Kaiser Permanente
| Professional | $274.29 | $572.12 | $572.12 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 |