| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.27 | $912.27 | $10,500.00 | |
Aetna
| Professional | $912.27 | $912.27 | $912.27 | |
Medica
| Facility | $912.27 | $912.27 | $2,736.81 |
Percutaneous Transluminal Revascularization Of Chronic Total Occlusion Coronary Artery Coronaryartery Branch Or Coronary Artery Bypass Graft Any Combination Of Drug-Eluting Intracoronary Stent Atherectomy And Angioplasty; Single Vessel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.27 | $912.27 | $10,500.00 | |
Aetna
| Professional | $912.27 | $912.27 | $912.27 | |
Medica
| Facility | $912.27 | $912.27 | $2,736.81 |