| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.82 | $164.82 | $164.82 | |
CareSource
| Facility | $167.90 | $191.77 | $208.94 | |
Cigna
| Facility | $181.07 | $181.07 | $181.07 | |
United
| Facility | $460.00 | $460.00 | $460.00 |
Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.82 | $164.82 | $164.82 | |
CareSource
| Facility | $167.90 | $191.77 | $208.94 | |
Cigna
| Facility | $181.07 | $181.07 | $181.07 | |
United
| Facility | $460.00 | $460.00 | $460.00 |