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 | $1,671.00 | $4,521.00 | $14,854.00 | |
BCBS
| Facility | $587.35 | $2,197.38 | $3,616.69 | |
Medica
| Facility | $235.16 | $331.13 | $4,172.00 | |
United
| Facility | $1,360.00 | $2,572.00 | $6,416.00 |