| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $184.60 | $234.33 | $336.18 | |
Medica
| Professional | $720.48 | $720.48 | $720.48 |
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks; 11-19 MeV
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $184.60 | $234.33 | $336.18 | |
Medica
| Professional | $720.48 | $720.48 | $720.48 |