| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $5,623.41 | $10,471.29 | |
Medica
| Facility | $54.95 | $891.25 | $4,570.88 | |
United
| Facility | $851.14 | $1,445.44 | $5,623.41 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $5,623.41 | $10,471.29 | |
Medica
| Facility | $54.95 | $891.25 | $4,570.88 | |
United
| Facility | $851.14 | $1,445.44 | $5,623.41 |