| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $72.70 | $72.70 | $72.70 |
Sanford Health Plan
| Professional | 26 | $96.88 | $129.68 | $164.20 |
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 | $72.70 | $72.70 | $72.70 |
Sanford Health Plan
| Professional | 26 | $96.88 | $129.68 | $164.20 |