| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $4,387.00 | $10,439.00 | |
Medica
| Facility | $64.78 | $242.83 | $449.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |
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 | $1,700.00 | $4,387.00 | $10,439.00 | |
Medica
| Facility | $64.78 | $242.83 | $449.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |