| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.44 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $101.84 | $398.85 | $570.36 | |
Providence
| Facility | $101.84 | $398.85 | $570.36 |
Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.44 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $101.84 | $398.85 | $570.36 | |
Providence
| Facility | $101.84 | $398.85 | $570.36 |