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Arkansas rates for HCPCS 61623

Evasc Temp Balloon Artl Occlusion Head/Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.32 / $1,821.00 / $3,324.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,796.13 / $10,796.13 / $12,955.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,417.34 / $9,417.34 / $9,417.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.00 / $5,455.00 / $12,000.00