| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $159.50 | $185.74 | $426.03 |
Kaiser Permanente
| Professional | 26 | $155.05 | $191.53 | $237.13 |
Medcost
| Facility | 26 | $160.81 | $217.00 | $439.75 |
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 | $159.50 | $185.74 | $426.03 |
Kaiser Permanente
| Professional | 26 | $155.05 | $191.53 | $237.13 |
Medcost
| Facility | 26 | $160.81 | $217.00 | $439.75 |