| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $699.01 | $699.01 | $3,955.04 | |
United
| Facility | $4,596.00 | $7,457.00 | $14,227.00 |
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 | $699.01 | $699.01 | $3,955.04 | |
United
| Facility | $4,596.00 | $7,457.00 | $14,227.00 |