| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,445.44 | $1,862.09 | |
BCBS
| Facility | $9,332.54 | $11,220.18 | $15,135.61 | |
United
| Facility | $251.19 | $588.84 | $1,548.82 |
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 | $1,445.44 | $1,862.09 | |
BCBS
| Facility | $9,332.54 | $11,220.18 | $15,135.61 | |
United
| Facility | $251.19 | $588.84 | $1,548.82 |