| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $47.75 | $63.66 | $200.53 | |
United
| Professional | $199.04 | $245.71 | $335.54 |
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 |
|---|---|---|---|---|---|
Providence
| Professional | $47.75 | $63.66 | $200.53 | |
United
| Professional | $199.04 | $245.71 | $335.54 |