| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $127.10 | $191.00 | $225.23 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
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 |
|---|---|---|---|---|---|
Medcost
| Facility | $127.10 | $191.00 | $225.23 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |