| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $10,232.93 | $14,125.38 | |
Moda Health
| Facility | $141.25 | $181.97 | $1,000.00 | |
Providence
| Facility | $181.97 | $691.83 | $1,000.00 |
Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed; cessation of thrombolysis including removal of catheter and vessel closure by any method
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $10,232.93 | $14,125.38 | |
Moda Health
| Facility | $141.25 | $181.97 | $1,000.00 | |
Providence
| Facility | $181.97 | $691.83 | $1,000.00 |