| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,107.00 | $12,991.00 | $20,564.00 | |
Anthem BCBS
| Professional | $142.94 | $168.17 | $258.04 | |
Medica
| Facility | $539.22 | $1,178.13 | $14,969.00 |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,107.00 | $12,991.00 | $20,564.00 | |
Anthem BCBS
| Professional | $142.94 | $168.17 | $258.04 | |
Medica
| Facility | $539.22 | $1,178.13 | $14,969.00 |