| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $93.26 | $93.26 | $106.31 |
Hometown Health
| Professional | 26 | $1.40 | $104.88 | $150.40 |
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 | $93.26 | $93.26 | $106.31 |
Hometown Health
| Professional | 26 | $1.40 | $104.88 | $150.40 |