| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $6,165.95 | $6,165.95 | |
CareSource
| Facility | $181.97 | $181.97 | $229.09 | |
Cigna
| Facility | $281.84 | $281.84 | $281.84 | |
United
| Facility | $457.09 | $457.09 | $457.09 |
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 | $181.97 | $6,165.95 | $6,165.95 | |
CareSource
| Facility | $181.97 | $181.97 | $229.09 | |
Cigna
| Facility | $281.84 | $281.84 | $281.84 | |
United
| Facility | $457.09 | $457.09 | $457.09 |