| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $114.82 | $114.82 | $218.78 |
Lucent Health
| Facility | 26 | $616.60 | $954.99 | $954.99 |
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 | $114.82 | $114.82 | $218.78 |
Lucent Health
| Facility | 26 | $616.60 | $954.99 | $954.99 |