| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $442.22 | $824.68 | $1,013.19 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
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 |
|---|---|---|---|---|---|
Medcost
| Facility | $442.22 | $824.68 | $1,013.19 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |