go back

Montana rates for HCPCS 37242

Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,085.73 / $18,085.73 / $18,085.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.57 / $899.45 / $8,693.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.71 / $727.71 / $10,902.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.71 / $727.71 / $727.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.38 / $727.71 / $10,902.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.71 / $727.71 / $727.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.34 / $6,806.21 / $13,519.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,112.40 / $13,006.80 / $19,888.40