| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $101.62 | $222.77 | $285.12 | |
Medcost
| Professional | $223.00 | $276.00 | $307.00 |
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 |
|---|---|---|---|---|---|
Medcost
| Facility | $101.62 | $222.77 | $285.12 | |
Medcost
| Professional | $223.00 | $276.00 | $307.00 |