| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $4,570.88 | $8,511.38 | |
Anthem BCBS
| Facility | $9,120.11 | $9,120.11 | $9,120.11 | |
United
| Facility | $1,288.25 | $3,890.45 | $6,760.83 |
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 | $2,290.87 | $4,570.88 | $8,511.38 | |
Anthem BCBS
| Facility | $9,120.11 | $9,120.11 | $9,120.11 | |
United
| Facility | $1,288.25 | $3,890.45 | $6,760.83 |