| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.50 | $39.50 | $113.56 |
Medcost
| Facility | 26 | $84.44 | $91.00 | $159.54 |
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 | $39.50 | $39.50 | $113.56 |
Medcost
| Facility | 26 | $84.44 | $91.00 | $159.54 |