| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $277.97 | $277.97 | $277.97 |
Sanford Health Plan
| Professional | 26 | $350.11 | $450.52 | $513.64 |
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $277.97 | $277.97 | $277.97 |
Sanford Health Plan
| Professional | 26 | $350.11 | $450.52 | $513.64 |