| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.55 | $34.00 | $45.22 | |
CareSource
| Professional | $43.95 | $67.94 | $72.29 | |
Cigna
| Professional | $33.78 | $46.67 | $184.50 | |
United
| Professional | $23.44 | $38.93 | $72.81 |
Declot By Thrombolytic Agent Implant Device/Cath
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.55 | $34.00 | $45.22 | |
CareSource
| Professional | $43.95 | $67.94 | $72.29 | |
Cigna
| Professional | $33.78 | $46.67 | $184.50 | |
United
| Professional | $23.44 | $38.93 | $72.81 |