| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.20 | $56.23 | $95.50 |
Hally Health
| Professional | 26 | $33.11 | $50.12 | $125.89 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.20 | $56.23 | $95.50 |
Hally Health
| Professional | 26 | $33.11 | $50.12 | $125.89 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |