go back

Pennsylvania 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
$579.83 / $2,747.00 / $8,247.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,884.00 / $7,884.00 / $7,884.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $4,264.00 / $8,427.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $599.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00