| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.40 | $171.40 | $171.40 | |
Medica
| Facility | $171.40 | $232.77 | $514.20 |
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 | $171.40 | $171.40 | $171.40 | |
Medica
| Facility | $171.40 | $232.77 | $514.20 |