| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.17 | $195.68 | $1,600.00 | |
CareSource
| Facility | $55.34 | $63.10 | $89.29 | |
Cigna
| Facility | $88.74 | $88.74 | $88.74 |
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 | $53.17 | $195.68 | $1,600.00 | |
CareSource
| Facility | $55.34 | $63.10 | $89.29 | |
Cigna
| Facility | $88.74 | $88.74 | $88.74 |