| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $8,210.00 | $10,007.00 | |
Kaiser Permanente
| Professional | $667.46 | $728.14 | $849.49 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |
Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $8,210.00 | $10,007.00 | |
Kaiser Permanente
| Professional | $667.46 | $728.14 | $849.49 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |