| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.27 | $5,982.00 | $11,298.00 | |
United
| Facility | $1,592.00 | $4,731.00 | $9,513.00 |
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 | $242.27 | $5,982.00 | $11,298.00 | |
United
| Facility | $1,592.00 | $4,731.00 | $9,513.00 |