| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $19,628.16 | $30,959.35 | $49,267.55 | |
Medica
| Facility | $316.80 | $4,494.00 | $18,306.57 |
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 | $19,628.16 | $30,959.35 | $49,267.55 | |
Medica
| Facility | $316.80 | $4,494.00 | $18,306.57 |