| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $295.05 | $660.00 | $1,072.54 | |
Medica
| Professional | $876.53 | $5,247.00 | $5,247.00 |
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 |
|---|---|---|---|---|---|
Medica
| Facility | $295.05 | $660.00 | $1,072.54 | |
Medica
| Professional | $876.53 | $5,247.00 | $5,247.00 |