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 | $1,620.68 | $10,492.00 | $33,391.00 | |
Aetna
| Facility | 53 | $190.99 | $190.99 | $324.14 |
Anthem BCBS
| Facility | $2,021.21 | $13,222.96 | $48,415.00 | |
Cigna
| Facility | $13,953.00 | $27,808.00 | $45,414.96 | |
United
| Facility | $6,943.00 | $13,294.00 | $39,943.00 |