| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $204.17 | $204.17 | $223.87 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $173.78 | $229.09 | $416.87 |
Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $204.17 | $204.17 | $223.87 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $173.78 | $229.09 | $416.87 |