| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.55 | $1,040.00 | $2,699.03 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 |
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 | $140.55 | $1,040.00 | $2,699.03 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 |