| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.69 | $10.69 | $39.42 |
AllWays Health Partners
| Facility | 26 | $29.93 | $31.44 | $100.00 |
Mass General Brigham
| Facility | 26 | $31.19 | $100.00 | $100.00 |
Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.69 | $10.69 | $39.42 |
AllWays Health Partners
| Facility | 26 | $29.93 | $31.44 | $100.00 |
Mass General Brigham
| Facility | 26 | $31.19 | $100.00 | $100.00 |