| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Professional | $158.49 | $218.78 | $467.74 | |
United
| Facility | $1,584.89 | $2,570.40 | $5,888.44 | |
United
| Professional | $173.78 | $223.87 | $588.84 |
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Professional | $158.49 | $218.78 | $467.74 | |
United
| Facility | $1,584.89 | $2,570.40 | $5,888.44 | |
United
| Professional | $173.78 | $223.87 | $588.84 |