| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $10,964.78 | $16,595.87 | |
Moda Health
| Facility | $691.83 | $870.96 | $4,570.88 | |
Providence
| Facility | $870.96 | $3,311.31 | $4,677.35 |
Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $10,964.78 | $16,595.87 | |
Moda Health
| Facility | $691.83 | $870.96 | $4,570.88 | |
Providence
| Facility | $870.96 | $3,311.31 | $4,677.35 |