go back

Minnesota rates for HCPCS 61623

Evasc Temp Balloon Artl Occlusion Head/Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.51 / $522.51 / $7,859.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,297.38 / $24,536.18 / $48,429.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.93 / $1,817.93 / $4,373.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.10 / $1,662.02 / $3,443.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.43 / $1,062.64 / $15,951.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,028.00 / $11,496.00 / $21,528.00