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North Carolina 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
$557.13 / $846.05 / $7,968.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.52 / $722.92 / $1,346.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,895.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,024.59 / $7,157.81