| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.28 | $17.28 | $17.28 |
Medica
| Facility | 26 | $50.54 | $95.38 | $95.38 |
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 | $17.28 | $17.28 | $17.28 |
Medica
| Facility | 26 | $50.54 | $95.38 | $95.38 |