| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $428.78 | $428.78 | $428.78 | |
Moda Health
| Facility | $300.69 | $315.72 | $646.48 | |
Providence
| Facility | $300.69 | $300.69 | $646.48 |
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 |
|---|---|---|---|---|---|
Aetna
| Professional | $428.78 | $428.78 | $428.78 | |
Moda Health
| Facility | $300.69 | $315.72 | $646.48 | |
Providence
| Facility | $300.69 | $300.69 | $646.48 |