| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $7,727.00 | |
Cigna
| Facility | $13,832.00 | $20,514.00 | $37,262.00 | |
United
| Facility | $165.00 | $442.00 | $82,705.00 |
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; 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 | $1,017.00 | $2,080.00 | $7,727.00 | |
Cigna
| Facility | $13,832.00 | $20,514.00 | $37,262.00 | |
United
| Facility | $165.00 | $442.00 | $82,705.00 |