| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.89 | $22.39 | $40.74 |
Lucent Health
| Facility | 26 | $199.53 | $199.53 | $199.53 |
Moda Health
| Facility | 26 | $19.95 | $21.88 | $40.74 |
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.89 | $22.39 | $40.74 |
Lucent Health
| Facility | 26 | $199.53 | $199.53 | $199.53 |
Moda Health
| Facility | 26 | $19.95 | $21.88 | $40.74 |