| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $5,695.56 | |
Aetna
| Professional | $912.27 | $1,146.59 | $1,146.59 | |
United
| Facility | $5,074.00 | $7,819.00 | $17,123.00 |
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 | $3,706.14 | $3,955.04 | $5,695.56 | |
Aetna
| Professional | $912.27 | $1,146.59 | $1,146.59 | |
United
| Facility | $5,074.00 | $7,819.00 | $17,123.00 |