| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $97.66 | $139.38 | $306.22 | |
Medcost
| Professional | $64.00 | $83.00 | $170.00 |
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 | $97.66 | $139.38 | $306.22 | |
Medcost
| Professional | $64.00 | $83.00 | $170.00 |