| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,570.40 | $7,413.10 | |
Medica
| Facility | $54.95 | $251.19 | $1,230.27 | |
United
| Facility | $338.84 | $707.95 | $1,778.28 |
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 | $1,000.00 | $2,570.40 | $7,413.10 | |
Medica
| Facility | $54.95 | $251.19 | $1,230.27 | |
United
| Facility | $338.84 | $707.95 | $1,778.28 |