| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.57 | $95.50 | $194.98 |
Medica
| Facility | 26 | $190.55 | $676.08 | $676.08 |
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 | $64.57 | $95.50 | $194.98 |
Medica
| Facility | 26 | $190.55 | $676.08 | $676.08 |