Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed, single major coronary artery and/or its branches
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $7,175.00 | |
Moda Health
| Facility | $552.57 | $769.08 | $1,064.40 | |
Regence BlueShield
| Facility | $19,831.58 | $27,841.54 | $35,402.06 | |
United
| Facility | $11,800.00 | $45,934.00 | $49,430.00 |