| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $199.53 | $269.15 | $389.05 |
Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $199.53 | $269.15 | $389.05 |