| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $115.55 | $134.31 | $215.99 |
Medica
| Facility | 26 | $188.39 | $188.39 | $188.39 |
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 | $115.55 | $134.31 | $215.99 |
Medica
| Facility | 26 | $188.39 | $188.39 | $188.39 |