| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $133.93 | $133.93 | $384.02 |
Medica
| Facility | 26 | $196.11 | $196.11 | $964.10 |
Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $133.93 | $133.93 | $384.02 |
Medica
| Facility | 26 | $196.11 | $196.11 | $964.10 |