| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $567.84 | $567.84 | $567.84 | |
Medica
| Professional | $797.28 | $797.28 | $797.28 |
Iodine i-131 iobenguane, tx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $567.84 | $567.84 | $567.84 | |
Medica
| Professional | $797.28 | $797.28 | $797.28 |