| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $891.25 | $7,762.47 | |
Providence
| Facility | $575.44 | $891.25 | $1,047.13 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |
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 | $851.14 | $891.25 | $7,762.47 | |
Providence
| Facility | $575.44 | $891.25 | $1,047.13 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |