| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.18 | $20.18 | $74.38 |
AllWays Health Partners
| Facility | 26 | $19.11 | $60.27 | $124.50 |
Mass General Brigham
| Facility | 26 | $60.16 | $124.50 | $124.50 |
Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.18 | $20.18 | $74.38 |
AllWays Health Partners
| Facility | 26 | $19.11 | $60.27 | $124.50 |
Mass General Brigham
| Facility | 26 | $60.16 | $124.50 | $124.50 |