| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $155.03 | $217.44 | $447.04 |
AllWays Health Partners
| Facility | 26 | $369.93 | $731.04 | $769.50 |
Mass General Brigham
| Facility | 26 | $731.04 | $769.50 | $769.50 |
Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without contrast material(s), followed by contrast material(s) and further sequences
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $155.03 | $217.44 | $447.04 |
AllWays Health Partners
| Facility | 26 | $369.93 | $731.04 | $769.50 |
Mass General Brigham
| Facility | 26 | $731.04 | $769.50 | $769.50 |