| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $424.95 | $424.95 | $424.95 | |
Aetna
| Professional | $453.28 | $453.28 | $453.28 | |
United
| Facility | $4,334.00 | $4,334.00 | $13,976.00 |
Percutaneous transluminal coronary atherectomy, with intracoronary stent, 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
| Facility | $424.95 | $424.95 | $424.95 | |
Aetna
| Professional | $453.28 | $453.28 | $453.28 | |
United
| Facility | $4,334.00 | $4,334.00 | $13,976.00 |