| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.28 | $1,283.72 | $3,498.00 | |
United
| Facility | $1,185.00 | $4,797.00 | $10,455.00 |
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 | $80.28 | $1,283.72 | $3,498.00 | |
United
| Facility | $1,185.00 | $4,797.00 | $10,455.00 |