| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $123.03 | $123.03 | $123.03 | |
United
| Professional | $213.80 | $257.04 | $446.68 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $123.03 | $123.03 | $123.03 | |
United
| Professional | $213.80 | $257.04 | $446.68 |