| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $15,655.44 | $15,655.44 | $15,655.44 | |
United
| Facility | $15,655.44 | $15,655.44 | $15,655.44 |
Percutaneous Cardiovascular Procedures With Drug Eluting Stent Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $15,655.44 | $15,655.44 | $15,655.44 | |
United
| Facility | $15,655.44 | $15,655.44 | $15,655.44 |