| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.00 | $1,300.00 | $3,500.00 | |
BCBS
| Facility | $188.42 | $433.26 | $598.38 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |
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 | $338.00 | $1,300.00 | $3,500.00 | |
BCBS
| Facility | $188.42 | $433.26 | $598.38 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |