| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.28 | $3,498.00 | $10,439.00 | |
Medica
| Facility | $63.59 | $128.56 | $1,277.00 | |
United
| Facility | $525.00 | $1,353.00 | $2,793.00 |
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 | $153.28 | $3,498.00 | $10,439.00 | |
Medica
| Facility | $63.59 | $128.56 | $1,277.00 | |
United
| Facility | $525.00 | $1,353.00 | $2,793.00 |