| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.46 | $33.46 | $33.46 | |
BCBS
| Professional | $80.00 | $90.00 | $108.00 | |
Cigna
| Professional | $33.49 | $40.54 | $71.95 | |
United
| Professional | $39.60 | $79.20 | $116.15 |
Declot By Thrombolytic Agent Implant Device/Cath
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.46 | $33.46 | $33.46 | |
BCBS
| Professional | $80.00 | $90.00 | $108.00 | |
Cigna
| Professional | $33.49 | $40.54 | $71.95 | |
United
| Professional | $39.60 | $79.20 | $116.15 |