| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $236.32 | $236.32 | $236.32 | |
Medica
| Facility | $236.32 | $330.32 | $401.74 |
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 | $236.32 | $236.32 | $236.32 | |
Medica
| Facility | $236.32 | $330.32 | $401.74 |