| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $840.43 | $1,052.31 | $1,277.31 | |
United
| Professional | $549.85 | $574.37 | $598.32 | |
University Health Alliance
| Professional | $388.77 | $736.38 | $869.02 |
Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $840.43 | $1,052.31 | $1,277.31 | |
United
| Professional | $549.85 | $574.37 | $598.32 | |
University Health Alliance
| Professional | $388.77 | $736.38 | $869.02 |