| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $398.11 | $398.11 | $398.11 | |
MountainHealth Co-op
| Facility | $416.87 | $436.52 | $467.74 | |
Providence
| Facility | $239.88 | $354.81 | $549.54 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $398.11 | $398.11 | $398.11 | |
MountainHealth Co-op
| Facility | $416.87 | $436.52 | $467.74 | |
Providence
| Facility | $239.88 | $354.81 | $549.54 |