| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $764.48 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $349.94 | $688.38 | $984.38 | |
Providence
| Facility | $349.94 | $688.38 | $984.38 |
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $764.48 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $349.94 | $688.38 | $984.38 | |
Providence
| Facility | $349.94 | $688.38 | $984.38 |