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Virginia 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
$627.16 / $4,390.00 / $10,767.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,166.54 / $16,742.20 / $23,318.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.26 / $650.71 / $791.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.38 / $741.20 / $1,044.99
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.08 / $745.77 / $2,070.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $7,044.00