| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.70 | $75.70 | $103.61 |
Medcost
| Facility | 26 | $93.90 | $237.41 | $260.00 |
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 | $75.70 | $75.70 | $103.61 |
Medcost
| Facility | 26 | $93.90 | $237.41 | $260.00 |