go back

Virginia rates for HCPCS 61623

Evasc Temp Balloon Artl Occlusion Head/Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.33 / $5,412.00 / $13,209.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.91 / $640.70 / $790.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.38 / $772.60 / $1,065.76
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.78 / $756.60 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,301.00 / $20,974.00 / $40,876.00