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New York 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
$292.49 / $5,411.00 / $11,719.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,584.00 / $8,170.00 / $16,174.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.27 / $339.27 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.50 / $283.50 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.00 / $305.30 / $686.93
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.50 / $555.00 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.00 / $3,988.00 / $8,133.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.98 / $281.98 / $572.90