| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $87.08 | $87.08 | $87.08 |
Sanford Health Plan
| Professional | 26 | $82.68 | $103.50 | $272.11 |
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 | $87.08 | $87.08 | $87.08 |
Sanford Health Plan
| Professional | 26 | $82.68 | $103.50 | $272.11 |