| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $11,220.18 | $11,220.18 | |
Kaiser Permanente
| Professional | $87.10 | $95.50 | $117.49 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 |
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 | $2,818.38 | $11,220.18 | $11,220.18 | |
Kaiser Permanente
| Professional | $87.10 | $95.50 | $117.49 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 |