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Texas 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
$977.24 / $3,715.35 / $12,882.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $977.24 / $4,365.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $7,079.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $954.99 / $5,248.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $630.96 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,511.89 / $10,232.93