| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $147.60 | $149.22 | $149.22 |
Medica
| Facility | 26 | $360.52 | $717.54 | $717.54 |
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 | $147.60 | $149.22 | $149.22 |
Medica
| Facility | 26 | $360.52 | $717.54 | $717.54 |