| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $458.54 | $458.54 | $1,656.96 | |
Moda Health
| Facility | $212.99 | $412.90 | $590.45 | |
Providence
| Facility | $212.99 | $412.90 | $590.45 |
Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $458.54 | $458.54 | $1,656.96 | |
Moda Health
| Facility | $212.99 | $412.90 | $590.45 | |
Providence
| Facility | $212.99 | $412.90 | $590.45 |