| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $210.03 | $285.41 | $436.94 | |
Medcost
| Professional | $101.00 | $198.00 | $322.00 |
Brachytherapy isodose plan; intermediate (multiplane dosage calculations, application involving 5 to 10 sources/ribbons, remote afterloading brachytherapy, 9 to 12 sources
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $210.03 | $285.41 | $436.94 | |
Medcost
| Professional | $101.00 | $198.00 | $322.00 |