Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological supervision and interpretation (eg, middle cerebral artery, posterior inferior cerebellar artery) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $5,888.44 | $14,125.38 | |
Moda Health
| Facility | $302.00 | $1,348.96 | $3,090.30 | |
Providence
| Facility | $275.42 | $1,348.96 | $2,630.27 | |
United
| Facility | $199.53 | $199.53 | $199.53 |