| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $167.65 | $168.93 | $186.81 |
Cigna
| Facility | 26 | $181.80 | $181.80 | $181.80 |
Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $167.65 | $168.93 | $186.81 |
Cigna
| Facility | 26 | $181.80 | $181.80 | $181.80 |
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