| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.35 | $93.35 | $3,550.00 | |
CareSource
| Facility | $114.18 | $114.18 | $114.18 | |
Cigna
| Facility | $106.79 | $106.79 | $106.79 |
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 | $93.35 | $93.35 | $3,550.00 | |
CareSource
| Facility | $114.18 | $114.18 | $114.18 | |
Cigna
| Facility | $106.79 | $106.79 | $106.79 |