| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.65 | $8,084.00 | $12,933.00 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |
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 | $117.65 | $8,084.00 | $12,933.00 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |