| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $95.50 | $95.50 | $120.23 |
Health Alliance Plan
| Facility | 26 | $95.50 | $100.00 | $416.87 |
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 | $95.50 | $95.50 | $120.23 |
Health Alliance Plan
| Facility | 26 | $95.50 | $100.00 | $416.87 |