| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.74 | $84.20 | $8,500.00 | |
Medica
| Facility | $60.74 | $84.20 | $182.22 |
Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.74 | $84.20 | $8,500.00 | |
Medica
| Facility | $60.74 | $84.20 | $182.22 |