| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.60 | $9.60 | $9.60 | |
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
Molina
| Professional | $30.00 | $30.00 | $78.00 | |
Regence BlueShield
| Facility | $9.10 | $12.73 | $15.64 |
Brachytherapy planar source, palladium-103, per sq mm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.60 | $9.60 | $9.60 | |
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
Molina
| Professional | $30.00 | $30.00 | $78.00 | |
Regence BlueShield
| Facility | $9.10 | $12.73 | $15.64 |