| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,227.00 | $7,655.00 | $16,000.00 | |
Medica
| Facility | $82.31 | $151.52 | $26,542.00 | |
United
| Facility | $2,269.00 | $6,170.00 | $15,451.00 |
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 | $3,227.00 | $7,655.00 | $16,000.00 | |
Medica
| Facility | $82.31 | $151.52 | $26,542.00 | |
United
| Facility | $2,269.00 | $6,170.00 | $15,451.00 |