| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Premera BCBS
| Professional | $912.01 | $933.25 | $2,290.87 | |
Providence
| Professional | $562.34 | $562.34 | $575.44 | |
United
| Professional | $251.19 | $812.83 | $3,388.44 |
Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Premera BCBS
| Professional | $912.01 | $933.25 | $2,290.87 | |
Providence
| Professional | $562.34 | $562.34 | $575.44 | |
United
| Professional | $251.19 | $812.83 | $3,388.44 |