| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $284.63 | $284.63 | $284.63 | |
Moda Health
| Facility | $199.60 | $209.58 | $429.14 | |
Providence
| Facility | $199.60 | $199.60 | $429.14 |
Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; 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 | $284.63 | $284.63 | $284.63 | |
Moda Health
| Facility | $199.60 | $209.58 | $429.14 | |
Providence
| Facility | $199.60 | $199.60 | $429.14 |