| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.67 | $26.62 | $38.10 | |
BCBS
| Professional | $39.07 | $47.02 | $59.40 | |
Cigna
| Professional | $26.09 | $54.25 | $92.28 | |
United
| Professional | $33.44 | $45.76 | $103.07 |
Declot By Thrombolytic Agent Implant Device/Cath
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.67 | $26.62 | $38.10 | |
BCBS
| Professional | $39.07 | $47.02 | $59.40 | |
Cigna
| Professional | $26.09 | $54.25 | $92.28 | |
United
| Professional | $33.44 | $45.76 | $103.07 |