| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,831.00 | $2,825.00 | |
Cigna
| Facility | $2,900.00 | $2,900.00 | $3,975.00 | |
United
| Facility | $225.00 | $546.00 | $15,000.00 |
Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,831.00 | $2,825.00 | |
Cigna
| Facility | $2,900.00 | $2,900.00 | $3,975.00 | |
United
| Facility | $225.00 | $546.00 | $15,000.00 |