| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $199.53 | $263.03 | $549.54 | |
United
| Professional | $199.53 | $229.09 | $338.84 |
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 |
|---|---|---|---|---|---|
Medica
| Professional | $199.53 | $263.03 | $549.54 | |
United
| Professional | $199.53 | $229.09 | $338.84 |