| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $3,162.28 | $4,786.30 | |
U of Utah Health Plan
| Professional | $67.61 | $295.12 | $436.52 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
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 | $275.42 | $3,162.28 | $4,786.30 | |
U of Utah Health Plan
| Professional | $67.61 | $295.12 | $436.52 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |