| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $81.79 | $81.80 | $122.18 |
Martin's Point
| Facility | 26 | $66.76 | $100.43 | $122.18 |
UPMC Health Plan
| Facility | 26 | $69.62 | $69.62 | $69.62 |
Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; initial vessel (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $81.79 | $81.80 | $122.18 |
Martin's Point
| Facility | 26 | $66.76 | $100.43 | $122.18 |
UPMC Health Plan
| Facility | 26 | $69.62 | $69.62 | $69.62 |