| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.95 | $18.05 | $99.99 |
Medica
| Facility | 26 | $48.53 | $297.00 | $297.00 |
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 | $14.95 | $18.05 | $99.99 |
Medica
| Facility | 26 | $48.53 | $297.00 | $297.00 |