| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.05 | $55.05 | $57.80 |
Health Alliance Plan
| Facility | 26 | $40.42 | $40.42 | $55.05 |
Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.05 | $55.05 | $57.80 |
Health Alliance Plan
| Facility | 26 | $40.42 | $40.42 | $55.05 |