| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.66 | $136.66 | $136.66 | |
Providence
| Facility | $187.56 | $237.50 | $255.22 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |
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 | $136.66 | $136.66 | $136.66 | |
Providence
| Facility | $187.56 | $237.50 | $255.22 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |