| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $7.94 | $407.38 | $562.34 | |
Hometown Health
| Professional | $7.94 | $7.94 | $501.19 | |
United
| Professional | $338.84 | $457.09 | $741.31 |
Compensator-based beam modulation treatment delivery of inverse planned treatment using three or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $7.94 | $407.38 | $562.34 | |
Hometown Health
| Professional | $7.94 | $7.94 | $501.19 | |
United
| Professional | $338.84 | $457.09 | $741.31 |