| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health New England
| Facility | $9,120.11 | $9,120.11 | $9,120.11 | |
United
| Facility | $2,884.03 | $5,370.32 | $8,317.64 |
Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health New England
| Facility | $9,120.11 | $9,120.11 | $9,120.11 | |
United
| Facility | $2,884.03 | $5,370.32 | $8,317.64 |