| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.13 | $79.27 | $88.81 | |
Kaiser Permanente
| Professional | $1,981.38 | $3,007.70 | $3,962.75 | |
United
| Professional | $73.64 | $96.34 | $199.15 |
Transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction, including catheter placement, imaging guidance (eg, fluoroscopy), angiography, and radiologic supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.13 | $79.27 | $88.81 | |
Kaiser Permanente
| Professional | $1,981.38 | $3,007.70 | $3,962.75 | |
United
| Professional | $73.64 | $96.34 | $199.15 |