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Pennsylvania rates for HCPCS 36228

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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,266.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.52 / $424.52 / $424.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.26 / $1,366.26 / $1,998.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,422.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.52 / $424.52 / $424.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.66 / $238.02 / $1,204.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $1,078.00 / $3,742.00