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Utah 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
$779.64 / $3,038.00 / $25,319.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $11,487.00