Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; each additional artery (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $2,818.38 | $8,317.64 | |
Capital Blue Cross
| Facility | $14,125.38 | $14,125.38 | $57,543.99 | |
Martin's Point
| Facility | $724.44 | $2,570.40 | $8,317.64 | |
UPMC Health Plan
| Facility | $204.17 | $660.69 | $1,288.25 | |
United
| Facility | $2,290.87 | $4,570.88 | $10,000.00 |