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 | $2,418.87 | $2,418.87 | $5,519.00 | |
Moda Health
| Facility | $621.23 | $865.13 | $1,195.52 | |
Regence BlueShield
| Facility | $22,615.84 | $22,615.84 | $24,936.16 | |
United
| Facility | $11,800.00 | $45,934.00 | $49,430.00 |