| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.53 | $3,272.64 | $7,469.56 | |
Kaiser Permanente
| Professional | $671.90 | $866.75 | $1,439.68 |
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 | $96.53 | $3,272.64 | $7,469.56 | |
Kaiser Permanente
| Professional | $671.90 | $866.75 | $1,439.68 |