| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.34 | $70.34 | $70.34 |
Health Alliance Plan
| Facility | 26 | $44.66 | $44.66 | $70.34 |
Surface application of low dose rate radionuclide source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.34 | $70.34 | $70.34 |
Health Alliance Plan
| Facility | 26 | $44.66 | $44.66 | $70.34 |