| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $72.19 | $72.19 | $72.19 |
AllWays Health Partners
| Facility | 26 | $160.74 | $175.66 | $236.42 |
Mass General Brigham
| Facility | 26 | $165.61 | $165.61 | $412.00 |
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 | $72.19 | $72.19 | $72.19 |
AllWays Health Partners
| Facility | 26 | $160.74 | $175.66 | $236.42 |
Mass General Brigham
| Facility | 26 | $165.61 | $165.61 | $412.00 |