| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $193.65 | $242.48 | $294.33 | |
United
| Professional | $149.81 | $163.31 | $245.85 | |
University Health Alliance
| Professional | $83.35 | $284.48 | $396.01 |
High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $193.65 | $242.48 | $294.33 | |
United
| Professional | $149.81 | $163.31 | $245.85 | |
University Health Alliance
| Professional | $83.35 | $284.48 | $396.01 |