| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.20 | $70.20 | $70.20 |
Medica
| Facility | 26 | $964.10 | $964.10 | $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 | $70.20 | $70.20 | $70.20 |
Medica
| Facility | 26 | $964.10 | $964.10 | $964.10 |