| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $395.84 | $474.33 | $729.24 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
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 |
|---|---|---|---|---|---|
Medcost
| Facility | $395.84 | $474.33 | $729.24 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |