| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $292.67 | $391.47 | $634.94 | |
Medcost
| Professional | $153.00 | $264.00 | $443.00 |
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 |
|---|---|---|---|---|---|
Medcost
| Facility | $292.67 | $391.47 | $634.94 | |
Medcost
| Professional | $153.00 | $264.00 | $443.00 |