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 | $75.83 | $75.83 | $75.83 |
BCBS
| Facility | 26 | $58.17 | $58.17 | $58.17 |
Cigna
| Facility | 26 | $170.14 | $241.28 | $580.41 |
Health Partners
| Facility | 26 | $138.31 | $220.58 | $457.03 |