| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $451.24 | $711.65 | $1,683.81 | |
Medica
| Professional | $451.24 | $451.24 | $451.24 |
Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator convergent beam modulated fields, per treatment session
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $451.24 | $711.65 | $1,683.81 | |
Medica
| Professional | $451.24 | $451.24 | $451.24 |