| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.06 | $26.06 | $26.06 |
Midlands
| Facility | 26 | $86.04 | $86.04 | $86.04 |
Sanford Health Plan
| Professional | 26 | $33.15 | $43.12 | $49.16 |
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 | $26.06 | $26.06 | $26.06 |
Midlands
| Facility | 26 | $86.04 | $86.04 | $86.04 |
Sanford Health Plan
| Professional | 26 | $33.15 | $43.12 | $49.16 |