| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.16 | $140.16 | $140.16 | |
Aetna
| Professional | $25,500.00 | $25,500.00 | $25,500.00 |
Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.16 | $140.16 | $140.16 | |
Aetna
| Professional | $25,500.00 | $25,500.00 | $25,500.00 |