| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,613.90 | $1,613.90 | $30,319.20 | |
Aetna
| Professional | $627.98 | $36,832.00 | $38,305.26 |
Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,613.90 | $1,613.90 | $30,319.20 | |
Aetna
| Professional | $627.98 | $36,832.00 | $38,305.26 |