| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $94.99 | $198.00 | $233.23 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
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 |
|---|---|---|---|---|---|
Medcost
| Facility | $94.99 | $198.00 | $233.23 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |