| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.61 | $21.61 | $21.61 |
BCBS
| Facility | 26 | $17.55 | $17.55 | $17.55 |
Cigna
| Facility | 26 | $51.38 | $72.86 | $175.28 |
Health Partners
| Facility | 26 | $40.46 | $66.61 | $138.01 |
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 | $21.61 | $21.61 | $21.61 |
BCBS
| Facility | 26 | $17.55 | $17.55 | $17.55 |
Cigna
| Facility | 26 | $51.38 | $72.86 | $175.28 |
Health Partners
| Facility | 26 | $40.46 | $66.61 | $138.01 |