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Nebraska 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
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,605.99 / $31,992.18 / $60,057.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.50 / $861.75 / $7,289.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.42 / $1,190.78 / $1,762.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00