| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $279.06 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $114.64 | $254.96 | $492.10 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $279.06 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $114.64 | $254.96 | $492.10 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |