| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $627.98 | $627.98 | $1,559.20 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Martin's Point
| Professional | $627.98 | $627.98 | $1,559.20 |
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
| Professional | $627.98 | $627.98 | $1,559.20 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Martin's Point
| Professional | $627.98 | $627.98 | $1,559.20 |