| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $624.47 | $624.47 | $1,700.00 | |
CareSource
| Facility | $625.41 | $717.89 | $782.15 | |
Cigna
| Facility | $670.66 | $670.66 | $670.66 | |
Cigna
| Facility | AS | $65.23 | $65.23 | $65.23 |
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 | $624.47 | $624.47 | $1,700.00 | |
CareSource
| Facility | $625.41 | $717.89 | $782.15 | |
Cigna
| Facility | $670.66 | $670.66 | $670.66 | |
Cigna
| Facility | AS | $65.23 | $65.23 | $65.23 |