| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.95 | $93.58 | $8,500.00 | |
Medica
| Facility | $67.95 | $93.58 | $203.88 |
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 | $67.95 | $93.58 | $8,500.00 | |
Medica
| Facility | $67.95 | $93.58 | $203.88 |