| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $169.82 | $213.80 | $263.03 |
Lucent Health
| Facility | 26 | $1,698.24 | $1,698.24 | $1,698.24 |
Moda Health
| Facility | 26 | $169.82 | $213.80 | $263.03 |
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 | $169.82 | $213.80 | $263.03 |
Lucent Health
| Facility | 26 | $1,698.24 | $1,698.24 | $1,698.24 |
Moda Health
| Facility | 26 | $169.82 | $213.80 | $263.03 |