| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.86 | $100.00 | $257.04 |
Hally Health
| Professional | 26 | $58.88 | $89.13 | $588.84 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.86 | $100.00 | $257.04 |
Hally Health
| Professional | 26 | $58.88 | $89.13 | $588.84 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |