| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,619.60 | $9,886.00 | $17,695.00 | |
Moda Health
| Facility | $1,109.28 | $4,327.52 | $6,188.35 | |
Providence
| Facility | $1,109.28 | $4,327.52 | $6,188.35 |
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention, percutaneous, any method; non-central nervous system, head or neck (extracranial, brachiocephalic branch)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,619.60 | $9,886.00 | $17,695.00 | |
Moda Health
| Facility | $1,109.28 | $4,327.52 | $6,188.35 | |
Providence
| Facility | $1,109.28 | $4,327.52 | $6,188.35 |