| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $304.33 | $304.33 | $304.33 | |
Medica
| Professional | $525.55 | $525.55 | $525.55 |
Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks; 11-19 MeV
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $304.33 | $304.33 | $304.33 | |
Medica
| Professional | $525.55 | $525.55 | $525.55 |