| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $302.77 | $627.45 | $627.45 | |
Medica
| Professional | $522.83 | $522.83 | $522.83 |
Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks; 20 MeV or greater
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $302.77 | $627.45 | $627.45 | |
Medica
| Professional | $522.83 | $522.83 | $522.83 |