| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $27,959.00 | $46,478.00 | $66,617.00 | |
Oscar Health
| Professional | $316.39 | $316.39 | $373.70 |
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 |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $27,959.00 | $46,478.00 | $66,617.00 | |
Oscar Health
| Professional | $316.39 | $316.39 | $373.70 |