| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $389.05 | $478.63 | $741.31 |
Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $389.05 | $478.63 | $741.31 |