| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $21.38 | $42.66 | $67.61 | |
United
| Facility | $416.87 | $416.87 | $416.87 | |
United
| Professional | $295.12 | $380.19 | $724.44 |
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 | $21.38 | $42.66 | $67.61 | |
United
| Facility | $416.87 | $416.87 | $416.87 | |
United
| Professional | $295.12 | $380.19 | $724.44 |