| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.36 | $6,607.00 | $10,492.00 | |
Anthem BCBS
| Facility | $6,647.90 | $16,131.00 | $21,453.35 | |
United
| Facility | $3,943.00 | $6,137.00 | $14,963.00 |
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 | $377.36 | $6,607.00 | $10,492.00 | |
Anthem BCBS
| Facility | $6,647.90 | $16,131.00 | $21,453.35 | |
United
| Facility | $3,943.00 | $6,137.00 | $14,963.00 |