| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $5.26 | $8.73 | $100.00 | |
United
| Facility | $5.26 | $5.26 | $8.73 |
Brachytherapy planar source, palladium-103, per sq mm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $5.26 | $8.73 | $100.00 | |
United
| Facility | $5.26 | $5.26 | $8.73 |