| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $398.56 | $398.56 | $398.56 | |
Providence
| Facility | $195.74 | $269.14 | $457.30 |
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 | $398.56 | $398.56 | $398.56 | |
Providence
| Facility | $195.74 | $269.14 | $457.30 |