| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.55 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $298.56 | $1,157.29 | $1,654.92 | |
Providence
| Facility | $298.56 | $1,157.29 | $1,654.92 |
Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each additional vascular territory (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.55 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $298.56 | $1,157.29 | $1,654.92 | |
Providence
| Facility | $298.56 | $1,157.29 | $1,654.92 |