| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $615.89 | $615.89 | $615.89 | |
Anthem BCBS
| Facility | $38,880.00 | $46,944.00 | $59,804.00 | |
Anthem BCBS
| Professional | $120.33 | $176.58 | $194.23 |
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 |
|---|---|---|---|---|---|
Aetna
| Professional | $615.89 | $615.89 | $615.89 | |
Anthem BCBS
| Facility | $38,880.00 | $46,944.00 | $59,804.00 | |
Anthem BCBS
| Professional | $120.33 | $176.58 | $194.23 |