| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $16,973.56 | $16,973.56 | $16,973.56 | |
Medica
| Facility | $67,143.00 | $67,143.00 | $67,143.00 |
Percutaneous Cardiovascular Procedures With Drug Eluting Stent With Mcc Or 4 Arteries Or Stents
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $16,973.56 | $16,973.56 | $16,973.56 | |
Medica
| Facility | $67,143.00 | $67,143.00 | $67,143.00 |