| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.99 | $178.75 | $212.57 | |
CareSource
| Facility | $164.08 | $223.99 | $258.38 | |
Cigna
| Facility | $197.59 | $197.59 | $226.31 | |
United
| Facility | $50.00 | $597.00 | $3,176.00 |
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 | $175.99 | $178.75 | $212.57 | |
CareSource
| Facility | $164.08 | $223.99 | $258.38 | |
Cigna
| Facility | $197.59 | $197.59 | $226.31 | |
United
| Facility | $50.00 | $597.00 | $3,176.00 |