| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $783.00 | $4,219.00 | |
United
| Facility | $783.00 | $1,743.00 | $5,937.00 |
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 | $1,930.00 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $783.00 | $4,219.00 | |
United
| Facility | $783.00 | $1,743.00 | $5,937.00 |