| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $390.50 | $390.50 | $390.50 | |
Moda Health
| Facility | $273.83 | $287.52 | $588.76 | |
Providence
| Facility | $273.83 | $273.83 | $588.76 |
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
| Professional | $390.50 | $390.50 | $390.50 | |
Moda Health
| Facility | $273.83 | $287.52 | $588.76 | |
Providence
| Facility | $273.83 | $273.83 | $588.76 |