| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $223.87 | $724.44 | |
BCBS
| Facility | $302.00 | $316.23 | $316.23 | |
United
| Facility | $616.60 | $1,479.11 | $3,162.28 |
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 | $223.87 | $223.87 | $724.44 | |
BCBS
| Facility | $302.00 | $316.23 | $316.23 | |
United
| Facility | $616.60 | $1,479.11 | $3,162.28 |