| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.90 | $142.90 | $8,500.00 | |
Medica
| Facility | $142.90 | $187.16 | $428.70 |
Angioscopy (noncoronary vessels or grafts) during therapeutic intervention (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.90 | $142.90 | $8,500.00 | |
Medica
| Facility | $142.90 | $187.16 | $428.70 |