| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
HMSA
| Facility | $297,967.00 | $348,168.00 | $405,434.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |
Multiple Sclerosis and Cerebellar Ataxia without CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,606.00 | $4,606.00 | $4,606.00 | |
HMSA
| Facility | $297,967.00 | $348,168.00 | $405,434.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |