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Texas 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
$390.93 / $3,682.00 / $10,893.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.62 / $409.26 / $1,341.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.40 / $218.40 / $218.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,172.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.85 / $272.13 / $535.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.17 / $276.93 / $563.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.00 / $2,547.00 / $9,187.00