| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $4,073.80 | $7,762.47 | |
Cigna
| Facility | $13,803.84 | $20,417.38 | $37,153.52 | |
United
| Facility | $213.80 | $549.54 | $83,176.38 |
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; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $4,073.80 | $7,762.47 | |
Cigna
| Facility | $13,803.84 | $20,417.38 | $37,153.52 | |
United
| Facility | $213.80 | $549.54 | $83,176.38 |