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North Carolina 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
$235.02 / $359.78 / $7,968.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.93 / $307.01 / $574.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,906.00 / $6,388.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $593.75 / $1,172.68