| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.12 | $51.12 | $51.12 | |
Aetna
| Professional | $51.12 | $51.12 | $51.12 | |
BCBS
| Facility | $50.66 | $59.19 | $1,865.44 | |
Medica
| Facility | $51.12 | $51.12 | $229.54 |
Brachytherapy Source Non-Stranded High Activity Paladium-103 Greater Than 2.2 Mci (Nist) Per Source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.12 | $51.12 | $51.12 | |
Aetna
| Professional | $51.12 | $51.12 | $51.12 | |
BCBS
| Facility | $50.66 | $59.19 | $1,865.44 | |
Medica
| Facility | $51.12 | $51.12 | $229.54 |