| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,898.00 | $10,614.84 | |
Aetna
| Professional | $1,559.20 | $1,559.20 | $1,559.20 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |
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 | $988.00 | $2,898.00 | $10,614.84 | |
Aetna
| Professional | $1,559.20 | $1,559.20 | $1,559.20 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |