| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $1,288.25 | $3,890.45 | |
BCBS
| Facility | $0.02 | $213.80 | $549.54 | |
United
| Facility | $208.93 | $512.86 | $1,258.93 |
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 | $501.19 | $1,288.25 | $3,890.45 | |
BCBS
| Facility | $0.02 | $213.80 | $549.54 | |
United
| Facility | $208.93 | $512.86 | $1,258.93 |