| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $72.05 | $117.83 | $255.78 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
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 |
|---|---|---|---|---|---|
Medcost
| Facility | $72.05 | $117.83 | $255.78 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |