| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $199.53 | $199.53 | $199.53 | |
United
| Professional | $162.18 | $199.53 | $302.00 |
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 |
|---|---|---|---|---|---|
Hometown Health
| Professional | $199.53 | $199.53 | $199.53 | |
United
| Professional | $162.18 | $199.53 | $302.00 |