go back

Mississippi rates for HCPCS 61623

Evasc Temp Balloon Artl Occlusion Head/Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,367.16 / $2,825.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,253.52 / $8,253.52 / $8,253.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $16,742.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.00 / $8,278.00 / $14,783.00