| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.75 | $1,250.00 | $2,825.00 | |
United
| Facility | $225.00 | $537.00 | $1,893.00 |
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 | $174.75 | $1,250.00 | $2,825.00 | |
United
| Facility | $225.00 | $537.00 | $1,893.00 |