| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.19 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $85.89 | $445.30 | $623.41 | |
Providence
| Facility | $85.89 | $445.30 | $623.41 |
Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.19 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $85.89 | $445.30 | $623.41 | |
Providence
| Facility | $85.89 | $445.30 | $623.41 |