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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
$4,500.00 / $18,652.00 / $19,168.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.63 / $2,027.79 / $2,863.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,180.41 / $24,096.00 / $39,758.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,000.00 / $24,599.00 / $65,746.00