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 | $4,500.00 | $4,805.00 | $7,175.00 | |
Moda Health
| Facility | $621.07 | $864.90 | $1,196.66 | |
Regence BlueShield
| Facility | $19,831.58 | $27,841.54 | $35,402.06 | |
United
| Facility | $11,800.00 | $45,934.00 | $49,430.00 |