| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $92.26 | $125.53 | $135.52 |
Hally Health
| Professional | 26 | $84.44 | $117.42 | $352.56 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $92.26 | $125.53 | $135.52 |
Hally Health
| Professional | 26 | $84.44 | $117.42 | $352.56 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |