| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $552.78 | $552.78 | $552.78 | |
Anthem BCBS
| Facility | $168.18 | $21,121.00 | $45,387.00 | |
Anthem BCBS
| Professional | $142.94 | $168.18 | $232.08 |
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 | $552.78 | $552.78 | $552.78 | |
Anthem BCBS
| Facility | $168.18 | $21,121.00 | $45,387.00 | |
Anthem BCBS
| Professional | $142.94 | $168.18 | $232.08 |