| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $218.78 | $218.78 | $218.78 |
Medcost
| Professional | 26 | $489.78 | $489.78 | $489.78 |
Infusion or instillation of radioelement solution (includes 3-month follow-up care)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $218.78 | $218.78 | $218.78 |
Medcost
| Professional | 26 | $489.78 | $489.78 | $489.78 |