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Idaho rates for HCPCS 61650

Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial vascular territory

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,137.96 / $3,090.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,148.15 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $17,782.79 / $19,054.61