| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.40 | $26.40 | $97.31 |
AllWays Health Partners
| Facility | 26 | $79.04 | $83.02 | $121.72 |
Mass General Brigham
| Facility | 26 | $80.39 | $80.39 | $163.63 |
Quantitative differential pulmonary perfusion, including imaging when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.40 | $26.40 | $97.31 |
AllWays Health Partners
| Facility | 26 | $79.04 | $83.02 | $121.72 |
Mass General Brigham
| Facility | 26 | $80.39 | $80.39 | $163.63 |