| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $42.66 | $50.12 | $79.43 | |
United
| Facility | $186.21 | $190.55 | $190.55 | |
United
| Professional | $141.25 | $194.98 | $436.52 |
High dose rate electronic brachytherapy, skin surface application, per fraction, includes basic dosimetry, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $42.66 | $50.12 | $79.43 | |
United
| Facility | $186.21 | $190.55 | $190.55 | |
United
| Professional | $141.25 | $194.98 | $436.52 |