| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $11,449.67 | $13,894.72 | $18,692.84 | |
BCBS
| Professional | $181.04 | $248.00 | $292.64 |
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; each additional branch subtended by the bypass graft (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $11,449.67 | $13,894.72 | $18,692.84 | |
BCBS
| Professional | $181.04 | $248.00 | $292.64 |