| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $931.00 | $931.00 | $1,267.10 | |
Kaiser Permanente
| Professional | $171.61 | $221.38 | $365.50 |
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 | $931.00 | $931.00 | $1,267.10 | |
Kaiser Permanente
| Professional | $171.61 | $221.38 | $365.50 |