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Temporary Balloon Blockage of a Head or Neck Artery

South Dakota rates for HCPCS 61623

A catheter is threaded through the blood vessels up to a chosen artery in the head or neck, where a small balloon is inflated to halt flow through it for a short time. While flow is stopped, the person's speech, strength, and awareness are watched closely to see whether the brain tolerates losing that vessel. X-ray imaging guides the catheter throughout and records what happens.

Facilitymedian $1,230 · 10th–90th $525$5,6230%20%10th90th$1,230Professionalmedian $977 · 10th–90th $676$1,1750%20%10th90th$977$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$4,365.16
Typical High
$5,623.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,479.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$1,258.93
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$23,442.29