| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $23,756.22 | $23,756.22 | $23,756.22 | |
United
| Facility | $23,756.22 | $23,756.22 | $23,756.22 |
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 |
|---|---|---|---|---|---|
Medica
| Facility | $23,756.22 | $23,756.22 | $23,756.22 | |
United
| Facility | $23,756.22 | $23,756.22 | $23,756.22 |