| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $444.69 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $385.76 | $3,986.00 | |
United
| Facility | $783.00 | $1,934.00 | $5,562.00 |
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 | $444.69 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $385.76 | $3,986.00 | |
United
| Facility | $783.00 | $1,934.00 | $5,562.00 |