| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.98 | $48.98 | $48.98 | |
Aetna
| Professional | $48.98 | $51.29 | $602.56 | |
Select Health
| Professional | $107.15 | $107.15 | $107.15 |
Brachytherapy source, nonstranded, high activity, palladium-103, greater than 2.2 mCi (NIST), per source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.98 | $48.98 | $48.98 | |
Aetna
| Professional | $48.98 | $51.29 | $602.56 | |
Select Health
| Professional | $107.15 | $107.15 | $107.15 |