Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $3,162.28 | $9,549.93 | |
BCBS
| Facility | $2,344.23 | $4,365.16 | $12,022.64 | |
Cigna
| Facility | $158.49 | $446.68 | $1,318.26 | |
United
| Facility | $295.12 | $1,202.26 | $3,630.78 |
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