| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $408.84 | $489.84 | $819.94 | |
Oscar Health
| Professional | $369.40 | $503.00 | $747.30 | |
Priority Health
| Professional | $408.84 | $489.84 | $819.94 |
Brachytherapy isodose plan; complex (multiplane isodose plan, volume implant calculations, over 10 sources/ribbons used, special spatial reconstruction, remote afterloading brachytherapy, over 12 sources)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $408.84 | $489.84 | $819.94 | |
Oscar Health
| Professional | $369.40 | $503.00 | $747.30 | |
Priority Health
| Professional | $408.84 | $489.84 | $819.94 |