| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $643.62 | $643.62 | $10,500.00 | |
Medica
| Facility | $643.62 | $789.59 | $1,930.86 |
Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $643.62 | $643.62 | $10,500.00 | |
Medica
| Facility | $643.62 | $789.59 | $1,930.86 |