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California rates for HCPCS 61624

Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention, percutaneous, any method; central nervous system (intracranial, spinal cord)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,843.00 / $10,076.98 / $22,330.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,108.00 / $11,746.00 / $50,022.41
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.20 / $100.00 / $5,509.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.70 / $1,192.76 / $1,431.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.05 / $1,431.03 / $2,556.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,963.05 / $14,559.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.82 / $1,438.11 / $1,985.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,822.00 / $18,315.00 / $45,545.00