| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $132.08 | $161.43 | $435.24 | |
Medica
| Professional | $802.00 | $919.93 | $919.93 |
Teletherapy, isodose plan (whether hand or computer calculated); intermediate (3 or more treatment ports directed to a single area of interest)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $132.08 | $161.43 | $435.24 | |
Medica
| Professional | $802.00 | $919.93 | $919.93 |