| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $301.11 | $414.99 | $754.22 | |
Medica
| Facility | $421.71 | $9,673.00 | $23,884.54 |
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 |
|---|---|---|---|---|---|
Hally Health
| Professional | $301.11 | $414.99 | $754.22 | |
Medica
| Facility | $421.71 | $9,673.00 | $23,884.54 |