| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.05 | $22.05 | $22.05 |
Health Alliance Plan
| Facility | 26 | $15.89 | $15.89 | $22.05 |
Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.05 | $22.05 | $22.05 |
Health Alliance Plan
| Facility | 26 | $15.89 | $15.89 | $22.05 |