| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $162.18 | $204.17 | $371.54 |
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 |
|---|---|---|---|---|---|
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $162.18 | $204.17 | $371.54 |