| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $173.78 | $208.93 | $251.19 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
Transcatheter placement and subsequent removal of cerebral embolic protection device(s), including arterial access, catheterization, imaging, and radiological supervision and interpretation, percutaneous (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $173.78 | $208.93 | $251.19 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |