| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.59 | $936.00 | $2,010.00 | |
United
| Facility | $721.00 | $1,467.00 | $4,538.00 |
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 | $219.59 | $936.00 | $2,010.00 | |
United
| Facility | $721.00 | $1,467.00 | $4,538.00 |