| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,311.31 | $5,888.44 | $10,964.78 | |
United
| Facility | $1,412.54 | $2,884.03 | $7,762.47 |
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 | $3,311.31 | $5,888.44 | $10,964.78 | |
United
| Facility | $1,412.54 | $2,884.03 | $7,762.47 |