| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $61,260.05 | $115,860.09 | $153,511.37 | |
United
| Facility | $192,515.28 | $192,515.28 | $192,515.28 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $61,260.05 | $115,860.09 | $153,511.37 | |
United
| Facility | $192,515.28 | $192,515.28 | $192,515.28 |