| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $167.42 | $212.85 | $303.61 | |
Medica
| Professional | $648.24 | $648.24 | $648.24 |
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks; 6-10 MeV
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $167.42 | $212.85 | $303.61 | |
Medica
| Professional | $648.24 | $648.24 | $648.24 |