| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $111.24 | $140.63 | $231.38 | |
Medica
| Professional | $919.93 | $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 | $111.24 | $140.63 | $231.38 | |
Medica
| Professional | $919.93 | $919.93 | $919.93 |