| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $672.00 | $772.14 | $913.18 | |
Providence
| Professional | $507.04 | $507.04 | $902.20 |
Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $672.00 | $772.14 | $913.18 | |
Providence
| Professional | $507.04 | $507.04 | $902.20 |