| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $505.46 | $505.46 | $505.46 | |
Medica
| Professional | $802.69 | $802.69 | $802.69 |
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $505.46 | $505.46 | $505.46 | |
Medica
| Professional | $802.69 | $802.69 | $802.69 |