| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $66.98 | $81.36 | $133.86 |
Medica
| Facility | 26 | $140.60 | $140.60 | $140.60 |
Surface application of low dose rate radionuclide source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $66.98 | $81.36 | $133.86 |
Medica
| Facility | 26 | $140.60 | $140.60 | $140.60 |