| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.84 | $12.92 | $15.50 |
Hometown Health
| Professional | 26 | $0.14 | $17.28 | $22.19 |
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 | $12.84 | $12.92 | $15.50 |
Hometown Health
| Professional | 26 | $0.14 | $17.28 | $22.19 |