| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.97 | $2,301.00 | $9,477.00 | |
Cigna
| Facility | $5,875.75 | $5,875.75 | $5,875.75 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 |
Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; 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 | $110.97 | $2,301.00 | $9,477.00 | |
Cigna
| Facility | $5,875.75 | $5,875.75 | $5,875.75 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 |