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Idaho 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
$5,495.41 / $18,620.87 / $19,054.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $28,183.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,290.87 / $18,620.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $23,988.33 / $32,359.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $25,118.86 / $66,069.34