| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12,647.06 | $14,451.17 | $19,942.39 | |
Medica
| Facility | $13,905.00 | $67,143.00 | $67,143.00 | |
United
| Facility | $13,905.00 | $13,905.00 | $13,905.00 |
Percutaneous Cardiovascular Procedures With Drug Eluting Stent Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $12,647.06 | $14,451.17 | $19,942.39 | |
Medica
| Facility | $13,905.00 | $67,143.00 | $67,143.00 | |
United
| Facility | $13,905.00 | $13,905.00 | $13,905.00 |