| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $627.98 | $1,200.00 | $14,974.48 | |
Aetna
| Professional | $627.98 | $627.98 | $36,832.00 |
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 | $627.98 | $1,200.00 | $14,974.48 | |
Aetna
| Professional | $627.98 | $627.98 | $36,832.00 |