| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $93.54 | $118.24 | $171.19 |
Martin's Point
| Facility | 26 | $75.92 | $119.59 | $272.39 |
UPMC Health Plan
| Facility | 26 | $79.20 | $79.20 | $165.51 |
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 | $93.54 | $118.24 | $171.19 |
Martin's Point
| Facility | 26 | $75.92 | $119.59 | $272.39 |
UPMC Health Plan
| Facility | 26 | $79.20 | $79.20 | $165.51 |