| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $106.76 | $106.76 | $121.71 |
Hometown Health
| Professional | 26 | $4.00 | $78.63 | $194.01 |
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 | $106.76 | $106.76 | $121.71 |
Hometown Health
| Professional | 26 | $4.00 | $78.63 | $194.01 |