| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $120.23 | $154.88 | $199.53 |
Lucent Health
| Facility | 26 | $1,000.00 | $1,000.00 | $1,000.00 |
Moda Health
| Facility | 26 | $120.23 | $154.88 | $199.53 |
Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping, with test administered entirely by a physician or other qualified health care professional (ie, psychologist), with review of test results and report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $120.23 | $154.88 | $199.53 |
Lucent Health
| Facility | 26 | $1,000.00 | $1,000.00 | $1,000.00 |
Moda Health
| Facility | 26 | $120.23 | $154.88 | $199.53 |