| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.36 | $0.36 | $0.43 | |
Aetna
| Professional | $0.36 | $0.36 | $0.36 | |
Harvard Pilgrim
| Professional | $52.91 | $58.50 | $77.22 |
Brachytherapy linear source, nonstranded, palladium-103, per 1 mm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.36 | $0.36 | $0.43 | |
Aetna
| Professional | $0.36 | $0.36 | $0.36 | |
Harvard Pilgrim
| Professional | $52.91 | $58.50 | $77.22 |