| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $178.70 | $178.70 | $193.00 |
Hometown Health
| Professional | 26 | $1.50 | $204.62 | $275.20 |
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; each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $178.70 | $178.70 | $193.00 |
Hometown Health
| Professional | 26 | $1.50 | $204.62 | $275.20 |