| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $143.53 | $182.54 | $193.41 | |
Providence
| Professional | $95.34 | $95.34 | $252.02 |
Brachytherapy isodose plan; simple (calculation made from single plane, one to four sources/ribbon application, remote afterloading brachytherapy, 1 to 8 sources)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $143.53 | $182.54 | $193.41 | |
Providence
| Professional | $95.34 | $95.34 | $252.02 |