| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.29 | $60.26 | $60.26 |
Martin's Point
| Facility | 26 | $51.29 | $60.26 | $60.26 |
UPMC Health Plan
| Facility | 26 | $50.12 | $75.86 | $75.86 |
Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when performed; 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 | $51.29 | $60.26 | $60.26 |
Martin's Point
| Facility | 26 | $51.29 | $60.26 | $60.26 |
UPMC Health Plan
| Facility | 26 | $50.12 | $75.86 | $75.86 |