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Montana 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.94 / $915.94 / $915.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.85 / $567.30 / $915.94