| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.83 | $13,084.30 | $13,084.30 | |
Aetna
| Professional | $104.22 | $212.83 | $212.83 | |
Denver HMP
| Facility | $104.22 | $212.83 | $357.55 |
Brachytherapy source, nonstranded, high activity, iodine-125, greater than 1.01 mCi (NIST), per source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.83 | $13,084.30 | $13,084.30 | |
Aetna
| Professional | $104.22 | $212.83 | $212.83 | |
Denver HMP
| Facility | $104.22 | $212.83 | $357.55 |