| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $436.52 | $436.52 | $446.68 | |
United
| Professional | $186.21 | $288.40 | $380.19 |
Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $436.52 | $436.52 | $446.68 | |
United
| Professional | $186.21 | $288.40 | $380.19 |