| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,252.70 | $4,387.00 | $10,458.00 | |
Regence BlueShield
| Facility | $16,616.70 | $20,988.87 | $30,397.25 | |
United
| Facility | $3,340.00 | $10,927.00 | $24,613.00 |
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 | $1,252.70 | $4,387.00 | $10,458.00 | |
Regence BlueShield
| Facility | $16,616.70 | $20,988.87 | $30,397.25 | |
United
| Facility | $3,340.00 | $10,927.00 | $24,613.00 |