| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.15 | $360.15 | $360.15 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |
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 | $360.15 | $360.15 | $360.15 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |