| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $269.15 | $269.15 | $323.59 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $134.90 | $251.19 | $407.38 |
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 |
|---|---|---|---|---|---|
Cigna
| Professional | $269.15 | $269.15 | $323.59 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $134.90 | $251.19 | $407.38 |