| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|
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 | Typical Low | Median | Typical High |
|---|