| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $273.83 | $350.52 | $501.13 | |
Molina
| Professional | $30.00 | $30.00 | $78.00 |
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 |
|---|---|---|---|---|---|
Moda Health
| Facility | $273.83 | $350.52 | $501.13 | |
Molina
| Professional | $30.00 | $30.00 | $78.00 |