| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $5.13 | $5.62 | $28.18 | |
Hometown Health
| Professional | $5.62 | $5.62 | $5.62 | |
United
| Professional | $338.84 | $467.74 | $1,445.44 |
Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $5.13 | $5.62 | $28.18 | |
Hometown Health
| Professional | $5.62 | $5.62 | $5.62 | |
United
| Professional | $338.84 | $467.74 | $1,445.44 |