| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.27 | $6,462.12 | $10,025.93 | |
Kaiser Permanente
| Professional | $671.98 | $866.85 | $1,439.66 |
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 | $176.27 | $6,462.12 | $10,025.93 | |
Kaiser Permanente
| Professional | $671.98 | $866.85 | $1,439.66 |