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Indiana rates for HCPCS 61651

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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.60 / $1,386.00 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,446.00 / $18,496.73 / $25,750.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.66 / $279.95 / $323.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $5,660.00 / $12,027.00