| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $104.11 | $104.11 | $104.11 | |
Providence
| Facility | $64.26 | $169.00 | $177.73 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $104.11 | $104.11 | $104.11 | |
Providence
| Facility | $64.26 | $169.00 | $177.73 |