| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $31.19 | $31.20 | $32.75 |
Health Alliance Plan
| Facility | 26 | $22.30 | $31.19 | $31.76 |
Thyroid carcinoma metastases uptake (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $31.19 | $31.20 | $32.75 |
Health Alliance Plan
| Facility | 26 | $22.30 | $31.19 | $31.76 |