| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $708.75 | $708.75 | $708.75 | |
Cigna
| Professional | $1,588.07 | $1,902.69 | $2,290.89 | |
Horizon BCBS
| Professional | $212.27 | $212.27 | $249.73 |
Percutaneous transcatheter placement of intracoronary stent(s), 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 | $708.75 | $708.75 | $708.75 | |
Cigna
| Professional | $1,588.07 | $1,902.69 | $2,290.89 | |
Horizon BCBS
| Professional | $212.27 | $212.27 | $249.73 |