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New York 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
$681.01 / $5,796.00 / $11,719.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,584.00 / $8,170.00 / $16,174.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.92 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.97 / $663.97 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $627.73 / $1,607.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $663.97 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,349.01