| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.20 | $19.20 | $50.88 |
Cigna
| Facility | 26 | $24.06 | $24.06 | $24.06 |
Medcost
| Facility | 26 | $33.47 | $33.81 | $65.37 |
Wellcare
| 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 | $19.20 | $19.20 | $50.88 |
Cigna
| Facility | 26 | $24.06 | $24.06 | $24.06 |
Medcost
| Facility | 26 | $33.47 | $33.81 | $65.37 |
Wellcare
| Facility | 26 | $50.54 | $50.54 | $103.03 |