go back

Iowa rates for HCPCS 61623

Evasc Temp Balloon Artl Occlusion Head/Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,964.00 / $6,098.00 / $11,100.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.89 / $936.36 / $1,745.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.51 / $1,475.91 / $27,598.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.32 / $1,260.91 / $1,649.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,542.00 / $12,871.00 / $16,293.00