| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $7,727.00 | |
Moda Health
| Facility | $110.83 | $149.81 | $187.94 | |
United
| Facility | $11,800.00 | $24,707.00 | $38,510.00 |
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 | $4,500.00 | $4,805.00 | $7,727.00 | |
Moda Health
| Facility | $110.83 | $149.81 | $187.94 | |
United
| Facility | $11,800.00 | $24,707.00 | $38,510.00 |