| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $1,819.70 | $2,818.38 | |
Cigna
| Facility | $2,884.03 | $3,981.07 | $3,981.07 | |
United
| Facility | $338.84 | $645.65 | $14,791.08 |
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 | $776.25 | $1,819.70 | $2,818.38 | |
Cigna
| Facility | $2,884.03 | $3,981.07 | $3,981.07 | |
United
| Facility | $338.84 | $645.65 | $14,791.08 |