| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $391.92 | $1,441.54 | $2,357.81 | |
BCBS
| Professional | $249.75 | $333.00 | $416.25 | |
Medica
| Facility | $502.53 | $5,602.00 | $31,242.00 |
Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $391.92 | $1,441.54 | $2,357.81 | |
BCBS
| Professional | $249.75 | $333.00 | $416.25 | |
Medica
| Facility | $502.53 | $5,602.00 | $31,242.00 |