| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $724.44 | $1,000.00 | $1,995.26 | |
Providence
| Facility | $1,000.00 | $1,412.54 | $1,995.26 |
Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single major coronary artery and/or its branches or single bypass graft and/or its subtended branches
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $724.44 | $1,000.00 | $1,995.26 | |
Providence
| Facility | $1,000.00 | $1,412.54 | $1,995.26 |