| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.36 | $17.36 | $20.78 |
AllWays Health Partners
| Facility | 26 | $23.13 | $50.54 | $103.03 |
Mass General Brigham
| Facility | 26 | $50.54 | $50.54 | $103.03 |
Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.36 | $17.36 | $20.78 |
AllWays Health Partners
| Facility | 26 | $23.13 | $50.54 | $103.03 |
Mass General Brigham
| Facility | 26 | $50.54 | $50.54 | $103.03 |