| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.61 | $21.61 | $21.61 |
Sanford Health Plan
| Professional | 26 | $27.34 | $35.75 | $40.75 |
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 |
Sanford Health Plan
| Professional | 26 | $27.34 | $35.75 | $40.75 |