go back

Georgia 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
$1,167.38 / $5,063.00 / $9,512.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,325.76 / $9,558.66 / $54,438.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.97 / $1,619.76 / $3,830.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$7,131.59 / $7,131.59 / $7,131.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.00 / $10,133.00 / $20,037.00